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School Group Lunch Order Form

Please enter your information below. Fields labeled with * are required. Any information you submit will be used in accordance with our Privacy Policy.

School Group and Personal Information

*School/Group Name:

*School/Group Visit Date:

*First Name:

*Last Name:



*State (two characters):


*Zip Code:

*Contact Phone: (xxx-xxx-xxxx)

Fax Number: (xxx-xxx-xxxx)

*E-mail Address:

*E-mail Address (re-enter):

*Preferred Pick-up Time:

Time subject to availability ( pick-ups are set in 15 minute intervals) - please check your lunch confirmation for your scheduled time.

Lunch pick-up location is Junction Springs Cafe. Other pick-up locations are available with prior arrangement; please call 336-879-7357.

*Number of Hamburger Meals:

*Number of Hot Dog Meals:

*Number of Uncrustables PB&J Sandwich Meals:

*Number of Ham Sandwich Meals:

*Number of Milks:

*Number of Capri Suns:

Total cost: