Salad Order Form
05.19.13
The Lamphere Schools
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Salad Order Form
Be sure to get your order in by 8:45 so we can get it delivered to you today.
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Items denoted with a red asterisk
*
are required.
*
Name
*
Building
*
Extension
Lettuce
Romaine
Spinach
Mixed (Iceberg with carrots & red cabbage)
Toppings
Bacon Bits
Beets
Black Olives
Broccoli
Carrots
Cauliflower
Croutons
Cucumber
Eggs
Feta Cheese
Ham
Mandarin Oranges
Pepper Rings
Red Onion
Shredded Cheese
Sunflower Seeds
Tomato
Dressing
Italian
Ranch
Raspberry Vinaigrette
Extra Dressing - add .30
Extra Dressing - add .30 - Please specify type
Want to make it a combo?
Yes - Add soup of the day - $4.75
No - Salad only - $3.75
Soup Only Large - $2.50
Soup Only Small - $2.00
Soup of the day
Monday - Chicken Noodle
Tuesday - Cream of Broccoli
Wednesday - Cream of Potato
Thursday - Chicken Dumpling
Friday - Tomato Basil with cheese ravioli
More Choices
White Milk - $.50
Chocolate Milk - $.50
Bag of chips - $.50
Comments, questions, notes:
Payment
Charge to my lunch account.
I'll pay in the cafeteria
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