HTML Preview Food Order Delivery Form page number 1.

Please call to confi rm your order was received.

Your Name:

Phone: e-mail:

Time of Pick-up: Today’s Date:

It is the sole and exclusive responsibility of customers ordering and consuming food, to provide Il Bacio with information regarding customer food allergies,

any process chemical intolerance, dairy product intolerance or any medical condition which could possibly result from consuming or contacting food products

or processes available at Il Bacio. By placing this order you release Il Bacio owners, agents and associates from any and all liability.

FOOD ORDER FAX FORM

Let Il Bacio help you with your pick-up order by using this convenitent Fax Form.