Region 6A Fundraiser Pre-Order Form
Please make sure to fill in the required fields and submit this form to complete your order. Please indicate what time you will be picking up and how you are paying. Cash is preferred.
Full Name
First Name
Last Name
E-mail
example@example.com
Contact Number
Special Instructions - Indicate Pick up time & payment type
My Products
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2 Piece Fish Dinner w/Dessert
2 pieces of Fish, greens, mac and cheese, or potato salad. Cornbread or white bread. Chocolate or Pound Cake
$
15.00
Quantity
1
2
3
4
5
Sides
Collard Greens w/ Pork
Collard Greens w/Turkey
Potato Salad
Mac and Cheese
Cornbread
White Bread
Dessert
Chocolate Cake
Pound Cake
3 Piece Wing Dinner w/Dessert
3 wings, greens, mac and cheese or potato salad. Cornbread or white bread. Chocolate or Pound Cake
$
16.00
Quantity
1
2
3
4
5
Sides
Collard Greens w/ Pork
Collard Greens w/turkey
Potato Salad
Mac and Cheese
Cornbread
White Bread
Dessert
Chocolate Cake
Pound Cake
Sides
Cake $2, Greens - $3, Mac and Cheese - $3, Potato Salad $2
$
3.00
Quantity
1
2
3
4
5
Shoe Size
Collard Greens w/Pork
Collard Greens w/Turkey
Potato Salad
Mac and Cheese
Chocolate Cake
Pound Cake
Submit
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