HTML Preview Food Lunch Order Form page number 1.
Japanese Food Lunch
Pre-order Form
*** Orders & Payments Due By 9:00am on Monday, January 25
th
***
Students may enjoy a healthy new lunch variety from Fukuroku Sushi Express on Tuesday, February 2nd, 2016. Meals will be
delivered to your child’s classroom by parent volunteers. Please see the following menu for lunch selections.
California Rolls (8 pieces)
$4.00
Cucumber Rolls (12 pieces)
$4.00
Chicken Teriyaki & Rice
$5.00
Vegetarian Yakisoba Noodles
$5.00
Chicken Karaage (6 pieces)
$5.50
chocolate milk
$1.25 each
apple juice
$1.00 each
orange juice
$1.00 each
yogurt tube
50 cents each
Meals will be prepared by Fukuroku Sushi Express.
Chopsticks & cutlery will be provided.
Rolls include soy sauce. Ginger & wasabi will be available upon request.
We apologize in advance if your child’s preferred Japanese food variety is not a part of this month’s hot lunch menu.
Thank you for your understanding
Email: [email protected] Facebook: https://www.facebook.com/MitchellElementaryPAC
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Please return this order form and payment to your child’s teacher by 9:00am on Monday, January 25, 2016.
Quantity
Item
Price
Total
California Rolls (8 pieces)
$4.00
Cucumber Rolls (12 pieces)
$4.00
Chicken Teriyaki & Rice
$5.00
Vegetarian Yakisoba Noodles
$5.00
Chicken Karaage (6 pieces)
$5.50
CHOCOLATE MILK
$1.25
APPLE JUICE
$1.00
ORANGE JUICE
$1.00
YOGURT TUBE
$0.50
We have enclosed a total of $ ______________________________________________________________________
Students Name: _____________________________________________________________________________
Division/Teacher: _________________________________________________________________________
Parent’s Name: ___________________________________________________________________________
Email Address To Receive Order Confirmation: __________________________________________________
Additional Notes: ______________________________________________________________________________________________________