Care Package Order Form

Care Package Order Form
PAYMENT INFORMATION
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
ORDER A CARE PACKAGE
Your Name*

First NameLast Name
Your Email Address*
example@example.com
Your Phone Number*
In case we have a question about your order
Recipient's Name*

First NameLast Name
Recipient's WLC Email Address*
In case we need to contact them about delivery
Delivery Date*

MonthDayYear
Personalized Note
Optional
Payment Method*

I will call with my credit card numberI will mail a check
CARE PACKAGE OPTIONS
Select a Care Package*

Comforts of Home: $13Cookies: One Dozen in a Gift Bag: $8Cookies: Two Dozen in a Cookie Jar: $17Pizza Party: $16Special Occasion Cake: $40
COMFORTS OF HOME: Soup selection

Panera Baked Potato SoupPanera Broccoli Cheddar SoupPanera Chicken Noodle SoupPanera Creamy Tomato Soup
COMFORTS OF HOME: Juice selection

Ocean Spray Apple JuiceOcean Spray Grapefruit JuiceOcean Spray Orange Juice
ONE DOZEN COOKIES WITH GIFT BAG: Select one, two, or all three flavors

Butter SugarChocolate ChipOatmeal Raisin
TWO DOZEN COOKIES WITH COOKIE JAR: Select one, two, or all three flavors

Butter SugarChocolate ChipOatmeal Raisin
PIZZA PARTY: Select pizza topping(s)

Black OlivesGreen PeppersMushroomsOnionsPepperoniSausageSpinachTomatoes

SPECIAL OCCASION CAKE: Select Frosting Flavor

Butter CreamChocolate Butter Cream
SPECIAL OCCASION CAKE: Select Cake Flavor

ChocolateYellowMarble
SPECIAL OCCASION CAKE: Select Filling

Butter CreamChocolate Butter CreamRaspberryStrawberry
SPECIAL OCCASION CAKE: Select Cake Decoration

BalloonsFlowersNo Decoration
SPECIAL OCCASION CAKE: Type the message you want on the cake
Example: Happy 21st Birthday Taylor!
Please verify that you are human*
Should be Empty:

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

Care Package Order Form

PAYMENT INFORMATION

ORDER A CARE PACKAGE

CARE PACKAGE OPTIONS