MGHS PSA NY Fish Fry Pre-Order Form

MGHS PSA NY Fish Fry Pre-Order Form

Thank you for supporting the MGHS PSA NY Chapter—place your pre-order for pickup or delivery for Saturday, September 26, 2026 (Rosedale, NY).
Customer Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Order Details
Meals are served with salad and hard dough bread and choice of 2 sides. Steamed fish is served with steamed bammy.

Lunch and Dinner Pre-orders are severed with salad, hard dough bread, rice & peas and festival.
Meal Selection -
Choice of 2 sides (Additional sides $5.00 each)
Soup and/or Desert ( $5.00 each)
Beverage
Quantity
Special Instructions / Allergies
Fulfillment Details
Order fulfillment method
Recipient or facility name
Contact person

First NameLast Name
Delivery address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Delivery instructions
Preferred pickup or delivery time

Hour Minutes

AM/PM Option
Payment Details
Payment Method
Amount Paid
Payment Confirmation / Reference Number
Payment Receipt Upload

Cancelof
Confirmation
Should be Empty: