Willie Carol Clay Soul Food Lunch PreOrder Form
Full Name
*
First Name
Last Name
Contact Number
*
-
Area Code
Phone Number
E-mail
*
Dine in or out? Delivery Address
*
Time of Pick-Up
Lunch MENU (price is split to allow for selections. Plates are $15.00)
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Meat Selection
$
7.50
Please select only two
Quantity
Chicken
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
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23
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25
26
27
28
29
30
Pork Chop
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Meat Loaf
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Pig Feet
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Item subtotal:
$
0.00
Vegetables w/meal purchase
$
Free
Please select only two
Quantity
Pinto Beans
1
2
3
4
5
6
7
8
9
10
Broccoli and Cheese Casserole
1
2
3
4
5
6
7
8
9
10
Candied Yams
1
2
3
4
5
6
7
8
9
10
Blackeyed Peas
1
2
3
4
5
6
7
8
9
10
Mac &. Cheese
1
2
3
4
5
6
7
8
9
10
Green Beans
1
2
3
4
5
6
7
8
9
10
Cabbage Greens/Turnip Greens
1
2
3
4
5
6
7
8
9
10
Extra Desert
$
5.00
Cake, Pie, Pudding
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Total
$
0.00
Payment Methods
Credit Card
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit Order
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