LUNCH MENU ORDER FORM
THIS IS A SAMPLE MENU FROM LAST YEAR
A NEW MENU For 2003/4 WILL BE COMING SHORTLY
Hewitt Elementary School
Monthly Lunch Order Form
FOR ICE CREAM DAYS CLICK
HERE
FOR COOKIE DAYS CLICK HERE
September 2002 - June 2003
Food
Dates Quantity
Price Amount
Bagel with: (check one) Mon. Sept. 23 ________ $1.25
___________
- Butter
_______ Mon. Oct. 7 ________ $1.25 ___________
- Cr.Cheese
_______ Mon. Oct. 21 ________ $1.25 ___________
- Plain
_______ Mon. Nov. 4
________
$1.25 ___________
Mon. Nov.18 ________
$1.25 ___________
Mon. Jan. 6
________
$1.25 ___________
Mon. Feb. 3
________
$1.25 ___________
Mon. Feb. 24
________
$1.25 ___________
Mon. Mar. 10 ________
$1.25 ___________
Mon. Mar. 24
________
$1.25 ___________
Mon. Apr. 7
________
$1.25 ___________
Mon. Apr. 28
________
$1.25 ___________
Mon. May 19
________
$1.25 ___________
Food
Dates Quantity
Price Amount
Hot Dogs
Wed. Sept. 25 ________
$1.25 ___________
Wed. Oct. 9
________ $1.25 ___________
Wed. Oct. 23
________
$1.25
___________
Wed. Nov. 6
________
$1.25 ___________
Wed. Dec. 11 ________
$1.25 ___________
Wed. Jan. 8
________
$1.25 ___________
Wed. Jan. 22
________
$1.25 ___________
Wed. Feb. 26 ________
$1.25 ___________
Wed. Mar. 12 ________
$1.25 ___________
Wed. Mar. 26 ________
$1.25 ___________
Wed. Apr. 9 ________
$1.25 ___________
Wed. Apr. 30 ________
$1.25 ___________
Food
Dates Quantity
Price Amount
Pizza
Thurs. Oct. 3 ________
$1.25 ___________
Thurs. Oct. 17 ________
$1.25 ___________
Thurs. Nov.14 ________
$1.25
___________
Thurs. Dec.5 ________
$1.25
___________
Thurs. Jan.16 ________
$1.25
___________
Thurs. Jan. 30 ________
$1.25
___________
Thurs. Feb. 13 ________
$1.25
___________
Thurs.
Mar. 6 ________
$1.25
___________
Thurs. Mar. 20 ________
$1.25
___________
Thurs.
Apr. 3 ________
$1.25
___________
Thurs. May 15 ________
$1.25
___________
Thurs.
May 29 ________
$1.25
___________
Food Dates Quantity
Price Amount
Burger King Chicken
Tues. Oct. 1 ________ $2.00
___________
Tenders w. small fries Tues.
Oct. 29 ________ $2.00
___________
Tues. Dec. 3
________
$2.00
___________
Tues. Jan. 14
________
$2.00
___________
Tues. Feb.11
________
$2.00
___________
Tues. Mar.18
________
$2.00
___________
Tues. Apr. 15
________
$2.00
___________
Tues. May 13
________
$2.00
___________
Food Dates Quantity
Price Amount
Turkey Sandwich with
Tue. Oct. 15 ________ $2.00
___________
carrot sticks (check
one): Tue. Nov. 12
________
$2.00
___________
- White Bread
______ Tue. Dec. 17
________ $2.00 ___________
- Whole Wheat
______ Tue. Jan. 28
________
$2.00
___________
Tue. Mar. 4
________
$2.00
___________
Tue. Apr. 1
________
$2.00
___________
Tue. May 27
________
$2.00
___________
Total For Month
==========
Please enclose this form and either cash or a check payable
to Hewitt PTA in an envelope labeled "Monthly Lunch" with your child's and
teacher's names and return by the 15th of the month
Child's Name ________________________ Teacher's
Name_______________________________________
Last Updated on 12/04/02
By Buzzy Hewitt
Email: hewittpta@aol.com
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