Type of order (breakfast, lunch):
Name (first and last):
Office phone #:
Cell phone #:
Email address:
Company:
Date of meal:
Time of delivery:
Time to serve meal:
Delivery Address:
Number of guests:
Special instruction/menu selections:
Form of payment:
*Please answer the questions above and email to tamikarue93@gmail.com, and someone will contact you as soon as possible
ruetamika@mikasbl.org
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