Discipleship Luncheon Meal Order Form
Name
*
First Name
Last Name
Local Church
*
Email
*
example@example.com
Meal Options
*
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Box Lunch - Ham
$
10.00
Quantity
1
2
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20
Box Lunch - Turkey
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
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19
20
Gluten-Free Lunch
$
10.00
Quantity
1
2
3
4
5
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10
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20
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Name(s) for Gluten-Free Lunch (if applicable)
Submit
Should be Empty: