Sea Breeze School Lunch Order Form Page 1 of 2 Chalet Ticino April 2015 Sun 29 Mon Tue March 30 Wed April 1 March 31 5 6 7 Meatballs with rice and corn SPRING BREAK Fri April 2 8 Cheese pizza Strawberry yogurt Sat April 3 4 SPRING BREAK SPRING BREAK SPRING BREAK SPRING BREAK SPRING BREAK Thu 9 10 11 Broccoli Chicken teriyaki with rice and peas Penne with butter and parmesan cheese Bananas Watermelon Carrots Sliced peaches 12 13 14 Chicken nuggets Spaghetti marinara with meatballs Green beans Broccoli Grapes Strawberry yogurt 19 20 Penne with butter and parmesan cheese 26 21 Grilled chicken with mashed potatoes and gravy Broccoli Carrots Peaches Strawberry yogurt 27 28 Orange chicken Spaghetti marinara with rice with meatballs Green beans Broccoli Oranges Watermelon 15 Cheese pizza 16 Cheese burgers Green beans Carrots Fruit cocktail Bananas 22 Cheese pizza Green beans Watermelon 17 18 Baked macaroni noodles with hot dogs Oranges 23 24 25 Macaroni & Ground turkey cheese with taco seasoning and Peas and carrots corn chips Apples Broccoli Bananas 29 Cheese pizza 30 Cheese burgers Carrots Green beans Peaches Fruit cocktail Child’s Name: ______________________ IMPORTANT: Please have all lunch orders in by 5pm on Friday of the prior week. Circle the dates for the lunches you wish to order OR check here for all 18 days 23 Rice with fresh broccoli... 1058-C Shell Blvd. Foster City, CA 94404 phone: (650) 571-0507 fax: (650) 571-5108 web: ChaletTicino.us Chalet Ticino 1. Sea Breeze School Lunch Order Form Page 2 of 2 On Which Dates Are You Ordering Lunch? On the menu calendar (page 1), please mark the dates for which you wish to order lunch. Please use just one order form per child. Additional order forms are available online at: http://ChaletTicino.us/SchoolLunches 2. Contact Information Student’s First Name _______________ Parent’s Name ____________________ Student’s Last Name _______________ Phone Number ____________________ Room Number ______ (Important) 3. Email ____________________ Calculate the Order Total (Example: Lunch for 2 days X $4 per lunch = $ 8 Order Total) Lunch for _______ days X $4 per lunch = $________ Order Total 4. Payment Information To Pay by Check To Pay by Visa or MasterCard ($10 or more) Please make out a check, in the amount of the order total, payable to ‘Chalet Ticino’ Cardholder Name ___________________________ Card Number ___________________________ Expiration Date ____/____ (mm/yy) Circle one: Visa MasterCard (Credit cards accepted for orders of $10 or more) 5. Send in the Order Form Please enclose this order form (with a check, if you are paying by check) in an envelope marked ‘Chalet Ticino School Lunches’ and leave the envelope at the Sea Breeze school office or drop it off at Chalet Ticino restaurant. Alternatively, if you are paying by credit card, you may fax both pages of this order form to (650) 571-5108. IMPORTANT: All lunch orders must be received no later than 5pm on Friday of the prior week. 6. If You Must Cancel a Lunch To cancel a lunch, please call Chalet Ticino restaurant at (650) 571-0507 no later than 8am on the day of the lunch order. You may leave a telephone message if the restaurant is not yet open. Please tell us your name, phone number, the name of your child, and the date for which the lunch order is to be cancelled. 1058-C Shell Blvd. Foster City, CA 94404 phone: (650) 571-0507 fax: (650) 571-5108 web: ChaletTicino.us
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