HTML Preview Restaurant Menu Order Form Sample Format page number 1.


USE THIS FORM WHEN ORDERING FROM OUR RESTAURANT MENU
FOR DELIVERY (24 hours notice) : _________ FOR PICKUP: ____________
Company Name: __________________________________________ Your Name: _________________________________________
Date: ______________________ Time: ________________Phone:____________________________Fax: ____________________
Delivery Location:_____________________________________________________ Meeting: ________________________________
Billing Information: Bill Us: __________ P.O. # / Cost Center: _________________________ Will Pay: ___________________
Payment: Credit Card # ______________________________________________________________ Expires: ______ / ________
If this is for pickup, please call to confirm we have received your fax
Do You Want ? 1 _____ (included) or 2 ______ Cookies per person (add $.75)
Do You Want ? Chips with Sandwich Orders No _____ Yes _____(add $1.00)
Do You Want ? Beverages? No _____ Yes _____(add $2.00)
NAME ORDER SPECIAL INST. BEVERAGE
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Rick’s On Second
619 W Second St. Antioch, Ca 94509
FAX TO: (925) 757-3876
PHONE: (925) 757-5500
DOWNLOAD HERE


People don’t believe what you tell them. They rarely believe what you show them. They often believe what their friends tell them. They always believe what they tell themselves. | Seth Godin