Custom Salad Order Form - Mount Logan Lodge

LIMIT: 1 CUSTOM SALAD PER PERSON PER DAY
PLEASE PLACE ORDER BY 8:00PM PRIOR TO THE REQUESTED PICKUP DATE OF YOUR ORDER.
Time

Hour Minutes
Hello.

As the Time is Currently After 8:00PM, Your Order Cannot be Processed for The Upcoming Day.

It is, Unfortunately, Outside of Our Minimum Ordering Window.

All Orders Must Be Submitted Prior to 8:00PM the Day Before Your Desired Pickup Date.

Our Apologies.
NAME*

FIRST NAMELAST NAME
PICKUP DATE*

MonthDayYear
FOOD ALLERGY?
AM OR PM PICKUP?*

AM PICKUP - BREAKFAST HOURSPM PICKUP - DINNER HOURS
LETTUCE/POWER BOWL - MAXIMUM 2 CHOICES

ICEBERGROMAINEKALESPINACHQUINOABROWN RICE
PROTEIN OPTIONS - MAXIMUM 2 CHOICES

GRILLED CHICKENBOILED EGGCRAB SALADTERIYAKI TOFUTUNA SALADBLACK BEANSHAMBACONFALAFELBAKED SALMON (3 OZ)SPICED CHICKPEASX 2 (DOUBLE)
VEGETABLES

SHREDDED BEETBLACK OLIVESRED ONIONBANANA PEPPERSSHREDDED CARROTTOMATOCUCUMBERSLICED PEPPERSBLUEBERRIESSTRAWBERRIES
CHEESE - MAXIMUM 2 CHOICES

JALAPENO JACKFETAMONTEREY JACKSHREDDED CHEDDAR
DRESSINGS

SELECTIONS AVAILABLE IN LUNCH ROOM.

PLEASE HELP YOURSELF WHEN YOU PICK UP YOUR SALAD.
Should be Empty: