Sandwich Choice ____ Ham & Cheese ____ Turkey & Cheese ____PB & J

Milk Choice ____ Chocolate ____ White

Number of Meals ordered

Elementary ___________ ($______ ) Secondary ___________ ($______ ) Adult ___________ ($______ )

□ $ ____________ Payment is enclosed (cash required for adult chaperones)

□ Deduct meal cost from food service account. If your child received free or reduced meals, mark this option.

□ My child will bring lunch from home.