Care Package Order Form

If you are paying by CREDIT CARD, please call Rob Lexow, 414.443.8951, with your card information after you submit the form below. Online payments are not available at this time.

If you are paying by CHECK, please mail it, payable to Wisconsin Lutheran College, to:

WLC Warrior Dining
ATTN: Rob Lexow
8800 W. Bluemound Road
Milwaukee, WI 53226

Your Name

First NameLast Name

Your Email Address

example@example.com

Your Phone Number

In case we have a question about your orderFormat: (000) 000-0000.

Recipient's Name

First NameLast Name

Recipient's WLC Email Address

In case we need to contact them about delivery

Delivery Date

Personalized Note

Optional

Payment Method

Select a Care Package

COMFORTS OF HOME: Soup selection

COMFORTS OF HOME: Juice selection

ONE DOZEN COOKIES WITH GIFT BAG: Select one, two, or all three flavors

TWO DOZEN COOKIES WITH COOKIE JAR: Select one, two, or all three flavors

PIZZA PARTY: Select pizza topping(s)

PIZZA PARTY: Select soda flavors, up to 6 bottles total.

Rows	Number of Bottles
Bottled Water
Diet Mt. Dew
Diet Pepsi
Mt. Dew
Pepsi
Root Beer
Sierra Mist

SPECIAL OCCASION CAKE: Select Frosting Flavor

SPECIAL OCCASION CAKE: Select Cake Flavor

SPECIAL OCCASION CAKE: Select Filling

SPECIAL OCCASION CAKE: Select Cake Decoration

SPECIAL OCCASION CAKE: Type the message you want on the cake

Example: Happy 21st Birthday Taylor!

Please verify that you are human

Care Package Order Form

PAYMENT INFORMATION

ORDER A CARE PACKAGE

CARE PACKAGE OPTIONS