Easter Meal Order Form
Los Pollos
Name
First Name
Middle Name
Last Name
My Products
Categories:
All
All
Starters
Mains
Sides
Desserts
prev
next
( X )
Starters
Boiled Eggs
$6.00
$
6.00
Type
Quantity
Price
Soft Boiled Eggs
1
2
3
4
5
6
7
8
9
10
$6.00
$
6.00
Hard Boiled Eggs
1
2
3
4
5
6
7
8
9
10
$5.00
$
5.00
Item subtotal:
$0.00
$
0.00
Â
Â
Mains
Roast Lamb
$65.00
$
65.00
Portion
Quantity
Price
Standard
1
2
3
4
5
6
7
8
9
10
$65.00
$
65.00
Large
1
2
3
4
5
6
7
8
9
10
$75.00
$
75.00
Item subtotal:
$0.00
$
0.00
Â
Â
Cooked Ham
$70.00
$
70.00
Portion
Quantity
Price
Standard
1
2
3
4
5
6
7
8
9
10
$70.00
$
70.00
Large
1
2
3
4
5
6
7
8
9
10
$80.00
$
80.00
Item subtotal:
$0.00
$
0.00
Â
Â
Sides
Easter Bread
$7.00
$
7.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Â
Â
Carrots
$6.00
$
6.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Â
Â
Pretzels
$16.00
$
16.00
Type
Quantity
Price
Soft Pretzels
1
2
3
4
5
6
7
8
9
10
$16.00
$
16.00
Hard Pretzels
1
2
3
4
5
6
7
8
9
10
$15.00
$
15.00
Salty Pretzels
1
2
3
4
5
6
7
8
9
10
$15.00
$
15.00
Spicy Pretzels
1
2
3
4
5
6
7
8
9
10
$16.00
$
16.00
Item subtotal:
$0.00
$
0.00
Â
Â
Desserts
Chocolate Eggs
$8.00
$
8.00
Topping
Quantity
Price
Milk Chocolate
1
2
3
4
5
6
7
8
9
10
$8.00
$
8.00
Dark Chocolate
1
2
3
4
5
6
7
8
9
10
$7.00
$
7.00
Stripy
1
2
3
4
5
6
7
8
9
10
$7.50
$
7.50
Homemade
1
2
3
4
5
6
7
8
9
10
$9.00
$
9.00
Item subtotal:
$0.00
$
0.00
Â
Â
Hot Cross Buns
$10.00
$
10.00
Type
Quantity
Price
Classic Hot Cross Buns
1
2
3
4
5
6
7
8
9
10
$10.00
$
10.00
Vegan Hot Cross Buns
1
2
3
4
5
6
7
8
9
10
$13.00
$
13.00
Chocolate Hot Cross Buns
1
2
3
4
5
6
7
8
9
10
$12.00
$
12.00
Item subtotal:
$0.00
$
0.00
Â
Â
Simnel Cake
$8.00
$
8.00
Type
Quantity
Price
Classic Simnel Cake
1
2
3
4
5
6
7
8
9
10
$8.00
$
8.00
Simnel Cupcake
1
2
3
4
5
6
7
8
9
10
$8.50
$
8.50
Red Berry Simanel Cake
1
2
3
4
5
6
7
8
9
10
$9.00
$
9.00
Item subtotal:
$0.00
$
0.00
Â
Â
Easter Bunny Bakes
$10.00
$
10.00
Color
Quantity
Price
Red
1
2
3
4
5
6
7
8
9
10
$10.00
$
10.00
Blue
1
2
3
4
5
6
7
8
9
10
$10.00
$
10.00
Green
1
2
3
4
5
6
7
8
9
10
$10.00
$
10.00
Yellow
1
2
3
4
5
6
7
8
9
10
$10.00
$
10.00
Item subtotal:
$0.00
$
0.00
Â
Â
Spiced Easter Biscuits
$7.00
$
7.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Â
Â
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Remember to order your food at least 30 minutes before so we can deliver your order on time. Minimum order limit is 70 Liras.
Please choose the delivery time.
Address
Street Address
Street Address Line 2
City
State
Zip Code
Please advise of a safe place/neighbor to leave if not in.
Submit
Should be Empty: