Restaurant Preorder Form
My Products
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All
Hamburger
Pizza
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Name: A to Z
Name: Z to A
Price: Low to High
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Hamburger
Beef Burger
Beef Patty, Onions, Tomatoes, Pickles, Lettuce
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Cheese Burger
Beef Patty, Chedder Cheese, Onions, Tomatoes, Pickles, Lettuce
$
6.00
Quantity
1
2
3
4
5
6
7
8
9
10
Mega Burger
Beef Patty, Chedder Cheese, Onions, Tomatoes, Pickles, Lettuce
$
8.00
Quantity
1
2
3
4
5
6
7
8
9
10
Pizza
Manager's Supreme
Mix of Fresh Vegetables
$
5.00
Size
Quantity
Price
Small
1
2
3
4
5
6
7
8
9
10
$
5.00
Medium
1
2
3
4
5
6
7
8
9
10
$
10.00
Large
1
2
3
4
5
6
7
8
9
10
$
13.00
Family Size
1
2
3
4
5
6
7
8
9
10
$
15.00
Item subtotal:
$
0.00
Pepperoni Pizza
Pepperoni, Tomato, Olive, Yellow Pepper, Pizza Sauce, Cheese
$
5.00
Size
Quantity
Price
Small
1
2
3
4
5
6
7
8
9
10
$
5.00
Medium
1
2
3
4
5
6
7
8
9
10
$
10.00
Large
1
2
3
4
5
6
7
8
9
10
$
13.00
Family Size
1
2
3
4
5
6
7
8
9
10
$
15.00
Item subtotal:
$
0.00
Cheezy Garlic
Garlic, Cheese, Mozzarella, Bay Leaf
$
4.00
Size
Quantity
Price
Small
1
2
3
4
5
6
7
8
9
10
$
4.00
Medium
1
2
3
4
5
6
7
8
9
10
$
7.00
Large
1
2
3
4
5
6
7
8
9
10
$
10.00
Family Size
1
2
3
4
5
6
7
8
9
10
$
13.00
Item subtotal:
$
0.00
Chili Cheese Belgian
Chili Sauce, Cheddar Cheese, Tomato
$
7.00
Size
Quantity
Price
Medium
1
2
3
4
5
6
7
8
9
10
$
7.00
Family Size
1
2
3
4
5
6
7
8
9
10
$
13.00
Item subtotal:
$
0.00
When do you want your orders to be ready?
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Type of order
Takeout
Dine in
Name
First Name
Last Name
Phone Number
Email
example@example.com
Payment Method
Cash
Bank Transfer
Bank Infromation
ACME BANK
John Doe - IBAN TR8392189321099238982392
Payment Methods
Debit or Credit Card
1
Choose from one of the PayPal options to
make your payment.
Preorder
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