XBZ Dinner To Go Form

  • XBZ Dinner To Go Form

    Fill out the form completely
  • Format: (000) 000-0000.
  • Date
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              Fried Shrimp

              Jumbo shrimp, breaded and fried golden brown served with macaroni & cheese and string beans 

              $35.00$35.00
                
              Cajun Tilapia

              Fresh water fish, lightly Cajun seared to perfection topped with onions and peppers served with macaroni & cheese and string beans

              $35.00$35.00
                
              Pork Chop

              Center cut bone-in chop, grilled or deep friend smothered in gravy with onions served with macaroni & cheese and string beans 

              $35.00$35.00
                
              Fried Chicken Wings

              Southern style fried chicken, marinated and seasoned to perfection with macaroni & cheese and string beans 

              $35.00$35.00
              Item subtotal:$0.00$0.00
                
              Colin's Baked Chicken

              Half Chicken, marinated and seasoned to perfection with macaroni & cheese and string beans

              $35.00$35.00
                
              Total
              $0.00$0.00

            • Upon completing the form, please remit your total payment, plus applicable fees as listed - Paypal $37.00 per meal for chibetazeta@gmail.com.  Please note "Dinner To Go 2026"

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