NCA Elem Lunch

Elem Lunch Order Form
You may order one week at a time or for the entire month.
Please make your selections below.
Please be aware no refunds or credits can be given for a missed lunch.
Full Name
First NameLast Name
Grade
Best Email Contact
example@example.com
Week of 10/2
Monday 10/2
If you are ordering a salad please indicate a dressing choice:
Buttermilk Ranch/ Lite Italian/ Avocado Lime Ranch/ Zesty Apple Cider Vinaigrette
Tuesday 10/3
Rows Enter Quantity Total Cost $1.50 per slice
Cheese Pizza
Pepperoni Pizza
Wednesday 10/4
If you are ordering a salad please indicate a dressing choice:
Buttermilk Ranch/ Lite Italian/ Avocado Lime Ranch/ Zesty Apple Cider Vinaigrette
Thursday 10/5
Rows Enter Quantity Total Cost $1.50 per slice
Cheese Pizza
Pepperoni Pizza
Friday NO HOT LUNCH available at this time
Week of 10/9
Monday 10/9
If you are ordering a salad please indicate a dressing choice:
Buttermilk Ranch/ Lite Italian/ Avocado Lime Ranch/ Zesty Apple Cider Vinaigrette
Tuesday 10/10
Rows Enter Quantity Total Cost $1.50 per slice
Cheese Pizza
Pepperoni Pizza
Wednesday 10/11
If you are ordering a salad please indicate a dressing choice:
Buttermilk Ranch/ Lite Italian/ Avocado Lime Ranch/ Zesty Apple Cider Vinaigrette
Thursday 10/12
Rows Enter Quantity Total Cost $1.50 per slice
Cheese Pizza
Pepperoni Pizza
Friday NO HOT LUNCH available at this time
Week of 10/16
Monday 10/16
If you are ordering a salad please indicate a dressing choice:
Buttermilk Ranch/ Lite Italian/ Avocado Lime Ranch/ Zesty Apple Cider Vinaigrette
Tuesday 10/17
Rows Enter Quantity Total Cost $1.50 per slice
Cheese Pizza
Pepperoni Pizza
Wednesday 10/18
If you are ordering a salad please indicate a dressing choice:
Buttermilk Ranch/ Lite Italian/ Avocado Lime Ranch/ Zesty Apple Cider Vinaigrette
Thursday 10/19
Rows Enter Quantity Total Cost $1.50 per slice
Cheese Pizza
Pepperoni Pizza
Friday NO HOT LUNCH available at this time
Week of 10/23
Monday 10/23
If you are ordering a salad please indicate a dressing choice:
Buttermilk Ranch/ Lite Italian/ Avocado Lime Ranch/ Zesty Apple Cider Vinaigrette
Tuesday 10/24
Rows Enter Quantity Total Cost $1.50 per slice
Cheese Pizza
Pepperoni Pizza
Wednesday 10/25
If you are ordering a salad please indicate a dressing choice:
Buttermilk Ranch/ Lite Italian/ Avocado Lime Ranch/ Zesty Apple Cider Vinaigrette
Thursday 10/26
Rows Enter Quantity Total Cost $1.50 per slice
Cheese Pizza
Pepperoni Pizza
Friday NO HOT LUNCH available at this time
Calculator
Enter your total cost. Please be sure to double check your calculations. :)
Total payment if using Paypal
prevnext( X )
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When placing an order, be sure to finalize payment with Paypal and return to merchant or your order will not go through.
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Rows	Enter Quantity	Total Cost $1.50 per slice
Cheese Pizza
Pepperoni Pizza

Rows	Enter Quantity	Total Cost $1.50 per slice
Cheese Pizza
Pepperoni Pizza

Rows	Enter Quantity	Total Cost $1.50 per slice
Cheese Pizza
Pepperoni Pizza

Rows	Enter Quantity	Total Cost $1.50 per slice
Cheese Pizza
Pepperoni Pizza

Elem Lunch Order Form

Week of 10/2

Week of 10/9

Week of 10/16

Week of 10/23

Total payment if using Paypal