FAX ORDER FORM –
DELIVERY ONLY
Fax to 218-8850
You will receive a phone call to confirm this order. If you do not,
please call us immediately at 218-8858
If you are placing an order after 12:00 today for delivery tomorrow,
please call in your order. Do not fax this order.
If your delivery is outside of Greensboro or High Point, please be
aware that it may involve a delivery charge and orders placed less than five
days prior may not be possible.
Please fill out this form in full.
Date of order: Please include day and date. ________________________
Number of Guests: _____________________
Time you will be eating: __________________ Your food will be delivered 15 - 30 minutes prior to eating time.
Delivery address:_________________________________________________________________
Please include street address, building name (if necessary), floor number and suite number. If we have not delivered to you before, please include specific directions from 5512 W. Market St.
Contact name: __________________________________________ Contact phone #: ________________
This is the person who will be our contact at the event.
Company name: _______________________________________________________________________
Your name: _____________________________________________ Your phone #: __________________
Billing Address: ________________________________________________________________________
Menu: Please include all items from our menu.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
____________________________________________________________________Cost per person: _________________
Circle Beverage:
Lunch: Sweetened Tea Unsweetened Tea Both Sweet
& Unsweet Assorted Canned Sodas ($1 ea.) Bottled
Water ($1.25 ea.)
Breakfast: Orange Juice Coffee (Regular only) Decaf coffee (special request)
Do you need tablecloths? ____________ If so, what size table?______________
Do you need tables? _______________ If so, what size?___________________
Heavy paper/plasticwares will be delivered with your order. If you would like china, silverware and glassware, comment "yes" here. ________
If you have any other special needs not listed here, please call 336-218-8858.