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PLEASE NOTE: MENU FOR JUNE 2005
Child’s Name: __________________________________________ Grade:___________
**BDMS JUNE 2005 - LUNCH ORDER FORM
ALL ORDERS ARE DUE MONDAY, MAY 23 (You can also mail or fax to 569-3303.)
PLEASE… One order form per child, however, you may pay with one check for all your family.
Total Amount Enclosed: $___________
2 MONDAYS
Qty. Daily Item
_____ Pizza $ 1.50 x 2 = _______
_____ Juice or Water .75 x 2 = _______
_____ Snacks or Ice Cream .75 x 2 = _______ Monday Total= __________
2 TUESDAYS
Qty. Daily Item
_____ Ham & Cheese Sub 6” $ 2.50 x 2= _______
_____ Turkey Sub 6” $ 2.50 x 2= _______
_____ Juice or Water .75 x 2 = _______
_____ Homemade Cookie .75 x 2= _______
_____ Snacks or Ice Cream .75 x 2 = _______
Tuesday Total= __________
3 WEDNESDAYS
Qty. Daily Item
_____ Cheese Sub $ 2.50 x 3 = ______
_____ Meatball Sub 6” $ 2.50 x 3 =______
_____ Tuna Sub 6” $ 2.50 x 3 =______
_____ Juice or Water .75 x 3=______
_____ Homemade Cookie .75 x 3 =______
_____ Snacks or Ice Cream .75 x 3 =______
Wednesday Total= __________
3 THURSDAYS
Qty. Daily Item
_____ BLT Sub $ 2.50 x 3 = _______
_____ Chicken Breast Sub $ 2.50 x 3 = _______
_____ Juice or Water .75 x 3 = _______
_____ Cookies . .75 x 3 = _______
_____ Snacks or Ice Cream .75 x 3 = _______
Thursday Total= ___________
2 FRIDAYS
Qty. Daily Item
_____ Pizza $ 1.50 x 2 =_______
_____ Juice or Water .75 x 2 =_______
_____ Snacks or Ice Cream .75 x 2 =_______
Friday Total =_______________
***REMEMBER-ALL ORDERS ARE DUE
Monday, May 23th (You can also mail or fax to 569-3303.)
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