Print out and fill in information for lunch order.                             

Week of:  

Child’s Name:  

School Lunch Order

Pizza                               M         1.25 x _____ = _____

Hot Roast Beef                 T          1.25 x _____ = _____

Hot Ham and Cheese        T          1.25 x _____ = _____

Ham or Turkey Deli Sand.  W         1.50 x _____ = _____

Chicken Fingers                TH        1.25 x _____ = _____

Pizza                               F           1.25 x _____ = _____

 

Milk (Chocolate)     M T W TH F   .45 x _____ = _____

Milk (White)           M T W TH F   .45 x _____ = _____

Juice (Apple)          M T W TH F   .25 x _____ = _____

Juice (Orange)        M T W TH F   .25 x _____ = _____

Juice (Grape)          M T W TH F   .25 x _____ = _____

Water                    M T W TH F   .55 x _____ = _____

 

Ice Cream              M T W TH F   .45 x _____ = _____

Soft Drink               M T W TH F   .55 x _____ = _____

Chips                     M T W TH F   .35 x _____ = _____

 

                                             Total Payment = _______