Wednesday Night Dinner Order Form
Order your dinner for Wednesday night and pay a donation securely online.
April 1st Menu: Chicken Fajitas
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number (for order updates)
Please enter a valid phone number.
Format: (000) 000-0000.
Order Meals for Wednesday, April 1st, 2026 for a donation below.
*
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Adult Meal
Individual
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Family Meal
Feeds up to 2 adults and 2 children
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Kids Meal
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Payment
Should be Empty: