Drive-Thru Chicken Stew Fundraiser Pre-Order Form
Pick-Up: Saturday, October 7, 2023 - 4:30pm-5:30pm
How Much Chicken Stew Would You Like to Order?
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( X )
Quart - Chicken Stew
Limit 8 Quarts per person
$
20.00
Quantity
1
2
3
4
5
6
7
8
Gallon - Chicken Stew
Limit 2 Gallons per person
$
60.00
Quantity
1
2
Item subtotal:
$
0.00
Your Name
*
First Name
Last Name
Name of Person Picking Up the Order (if different)
First Name
Last Name
Payment Will Be Collected at Pick-Up - What form of payment will you have?
Please Select
Cash
Check
Your E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: