Menu Item |
|
Quantity |
Circle One |
Circle One |
Instructions |
| Fried Pickles | |||||
| Fried Green Tomatoes | |||||
| Mary's Chicken Salad | Served with fruit | ||||
| Caesar Salad | Add a Grilled Chicken Breast | ||||
| Lunch Salad | |||||
| Turkey Melt | French Fries | ||||
| Ham & Swiss | French Fries | ||||
| Club Sandwich | French Fries | ||||
| Old Fashioned Burger |
Mustard, Mayo, Ketchup |
||||
| Favorite Burger | French Fries | ||||
| Donna's Houchie | French Fries | ||||
| Uncle Orville's | French Fries | ||||
| Mama Shirley's Chicken Dinner | French Fries | ||||
| Papa Don's Chicken Fried Steak | French Fries | ||||
| Grilled Cheese |
French Fries |
||||
| Gunfighter's Revenge Steak Sandwich | French Fries | ||||
| Uncle John's Reuben | French Fries | ||||
| Black Sheep | Must. Mayo Ketch Ranch | French Fries | |||
| Uncle Joe's Pork Chop | |||||
| Salmon | Baked Potato or FF | Ranch or Agean | |||
| Catherine's Classic Chicken | Baked Potato or FF | Ranch or Agean | |||
| Kansas City Strip | Baked Potato or FF | Ranch or Agean | |||
| Rachel's Filet Mignon | Baked Potato or FF | Ranch or Agean | |||
| 6" Ben's Pepperoni Pizza | |||||
| 6" Miss T's Pizza | |||||
| Loaded Baked Potato | |||||
| Plain Jane Baked Potato | |||||
| Apple Crisp | Ala Mode Yes or No | ||||
| Coconut Pie | |||||
| Pecan | Ala Mode Yes or No | ||||
| Bumbleberry | Ala Mode Yes or No | ||||
| Chocolate Meringue | |||||
| Lemon Meringue | |||||
| Apple Dumpling | |||||
| Deep Dish Apple Pie | |||||
| Cup of Ice Cream |
Strawberry, Peach or |
Butterfinger |
|||
| Bowl of Ice Cream |
Strawberry, Peach or |
Butterfinger |
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| German Chocolate Cake* | |||||
| Italian Creme Cake* | |||||
| * When Available Your Name ________________________________ Phone ____________________________________ Pick Up Time _____________________AM or PM Deliver To _________________________________ |
Print this form then fax or mail to: |
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