Order Form

Order Form
Name
Dept Phone #
Menu	How many would you like to order?
$5 Lunch in the BOX will include: Chicken Fried rice Pork/Beef Egg Roll Garlic Green Beans Dessert	We will serve the lunch on September 27^th. Pickup time is from 11 AM to 1 PM at the cafeteria in the basement
Extra order of egg roll can be purchase for $1 each.
Total	$
*Coke and Pepsi products will be sold for .50 cents/can*
Note	Please put your comment if any. Thanks
Thank You for helping us supporting the United Way 2004

Thank You for helping us supporting the United Way 2004