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  • Convience Order Form

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    Hannah Lagasse
    33 views1 page
    This document is an order form for convenience trays with a $5 fee. It lists the meal and beverage options available for breakfast, lunch, and dinner, including main dishes, sides, and drinks. Customers can choose their meals and mark their preferences for items like coffee and dessert. They also provide their name, apartment number, and whether they will pick up or have the tray delivered.

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    Holiday Retirement Convenience Order Form 2021

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    This document is an order form for convenience trays with a $5 fee. It lists the meal and beverage options available for breakfast, lunch, and dinner, including main dishes, sides, and drinks. Customers can choose their meals and mark their preferences for items like coffee and dessert. They also provide their name, apartment number, and whether they will pick up or have the tray delivered.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    33 views1 page

    Convience Order Form

    Uploaded by

    Hannah Lagasse
    This document is an order form for convenience trays with a $5 fee. It lists the meal and beverage options available for breakfast, lunch, and dinner, including main dishes, sides, and drinks. Customers can choose their meals and mark their preferences for items like coffee and dessert. They also provide their name, apartment number, and whether they will pick up or have the tray delivered.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Convenience Tray Order Form - $5 Fee Applicable for Convenience Trays

    BREAKFAST LUNCH DINNER RESIDENT


    Fruit of the Day Fresh Baked Bread Soup Name:
    Prunes Green Salad Crackers
    Hot Cereal Dressing Option 1 Meal
    Cold Cereal Option 1 Meal Option 2 Meal
    Regular Option 2 Meal Apt #
    Alternate Meals
    Eggs
    Alternate Meals (HC) (CC)
    Toast
    (HC) (CC)
    Coffee (circle) Coffee (circle) Date:
    Regular or Decaf Regular or Decaf
    Coffee (circle)
    Tea Tea
    Regular or Decaf
    Milk Milk Tea
    Juice Dessert (circle) Delivery
    Milk
    Regular or Reduced Sugar Pick up
    Dessert (circle)
    Regular or Reduced Sugar
    Other: Other: Other:

    Holiday Retirement
    DS-037 09.26.18 Page 1 of 1

    Convenience Tray Order Form - $5 Fee Applicable for Convenience Trays


    BREAKFAST LUNCH DINNER RESIDENT
    Fruit of the Day Fresh Baked Bread Soup Name:
    Prunes Green Salad Crackers
    Hot Cereal Dressing Option 1 Meal
    Cold Cereal Option 1 Meal Option 2 Meal
    Regular Option 2 Meal Apt #
    Alternate Meals
    Eggs
    Alternate Meals (HC) (CC)
    Toast
    (HC) (CC)
    Coffee (circle) Coffee (circle) Date:
    Regular or Decaf Regular or Decaf
    Coffee (circle)
    Tea Tea
    Regular or Decaf
    Milk Milk Tea
    Juice Dessert (circle) Delivery
    Milk
    Regular or Reduced Sugar Pick up
    Dessert (circle)
    Regular or Reduced Sugar
    Other: Other: Other:

    Holiday Retirement
    DS-037 09.26.18 Page 1 of 1

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