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Restaurant Delivery Instruction Form
You can call, or email your Lunch or Dinner Delivery list to us. Please use this guide when ordering:
Person Placing Order: ____________________________________ Date: __________
Phone # ____________________________ Fax# ___________________________
Time of Call: ________________________ Deliver By: _______________________
Food Establishment: ____________________________________________________
Address and Phone of Restaurant:__________________________________________
_____________________________________________________________________
Deliver to: ____________________________________________________________
Address:_______________________________________________________________
Directions from Restaurant: ________________________________________________
______________________________________________________________________
ORDER ONE ------------------------- ORDER TWO ---------------------- ORDER THREE ______________________ ______________________ ____________________
______________________ ______________________ ____________________
______________________ ______________________ ____________________
Drink ________________ Drink __________________ Drink____________________
Total $ _______________ Total $_________________ Total $___________________
Additional Notes / Directions:
Food Cost Total: __________
Errands by James Delivery Fee: __$10.00__
Total Amount Due: __________
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