Publix Platter Order Form

Publix Platter Order Form

At Least 24 Hours Advance Notice Required
Name*

First NameLast Name
Email*
example@example.com
Name of House You Are Staying In:*
Delivery Date*

MonthDayYear
Date
Fruit and Vegetable Trays

Fresh Fruit Platter, MiniFresh Fruit Platter, SmallFresh Fruit Platter, MediumFresh Fruit Platter, LargeFresh Fruit & Cheese Platter, MediumFresh Fruit & Cheese Platter, LargeGarden Fresh Vegetable Platter, Mini with RanchGarden Fresh Vegetable Platter, Mini with Blue CheeseGarden Fresh Vegetable Platter, Medium with RanchGarden Fresh Vegetable Platter, Medium with Blue CheeseGarden Fresh Vegetable Platter, Large with RanchGarden Fresh Vegetable Platter, Large with Blue CheeseJeweled Brie Platter, MiniJeweled Brie Platter, Medium
Dip Variety Platter

SmallMedium
Dip/Hummus 1

Classic HummusBuffalo Chicken DipArtichoke and Spinach DipCheddar Jack SpreadTzatziki SauceSpinach DipJalapeno Pepper Dip
Dip/Hummus 2

Classic HummusBuffalo Chicken DipArtichoke and Spinach DipCheddar Jack SpreadTzatziki SauceSpinach DipJalapeno Pepper Dip
Snack 1

Stacy's Pita ChipsNaan Dippers34 Degree CrackersPretzel Crisps
Snack 2

Stacy's Pita ChipsNaan Dippers34 Degree CrackersPretzel Crisps
Veggie 1

Baby CarrotsCauliflowerCelery SticksZucchiniBroccoli FloretsCucumbersYellow Squash
Veggie 2

Baby CarrotsCauliflowerCelery SticksZucchiniBroccoli FloretsCucumbersYellow Squash
Seafood Platters

Small Shrimp RingMedium Shrimp RingLarge Shrimp RingCaptains Choice Shrimp Platter, SmallCaptains Choice Shrimp Platter, MediumCaptains Choice Shrimp Platter, LargeShrimp & Surimi Platter, SmallShrimp & Surimi Platter, MediumShrimp & Surimi Platter, LargeSurimi Platter, SmallSurimi Platter, MediumSeafood Claw Platter, Small (lobster claws and snow crab cocktail claws)Seafood Claw Platter, Medium (lobster claws and snow crab cocktail claws)
Full listing of platters available on the Publix website:

https://www.publix.com/mc/order-ahead/order-deli-platters?aid=1_oa_oa-bc_bc_deliplatters_xng
Please include additional platters you wish to order below:
Please be sure to fill out and return the credit card authorization form to info@shallysseashells.com - you may reply directly to the email confirmation you receive when submitting this order.

https://drive.google.com/file/d/1Pa1rcqyWfRlPpise1MpXurPkhTTdvG96/view?usp=drive_link
Should be Empty:

Publix Platter Order Form

Full listing of platters available on the Publix website:

Please be sure to fill out and return the credit card authorization form to info@shallysseashells.com - you may reply directly to the email confirmation you receive when submitting this order.