NOVEMBER 2015 FOOD ORDER due October 14th

Milk

___ Chocolate ___ White

20 school days x .80 = 16.00
(Please choose chocolate or white milk. Orders are placed for the number of school days in the month)

Pizza

Please indicate number of pieces beside each date below.

(served on Wednesdays)
Nov. 4 ___ Nov. 11 ____Nov. 18 ____ Nov. 25 ____
Please note Gluten Free Pizza is $5.00/serving

Subway

Total pieces___ x $2.50 = _____

(please complete information for each sub order as the slips are sent to Subway each week )

(served on Fridays)

Total Subs x $5.00 = ________

Nov. 6
(Circle choices)

Nov. 13
(Circle choices)

Nov. 20
(Circle choices)

Nov. 27 (PA DAY)

(Circle choice)

Turkey

Turkey

Turkey

Turkey

Ham

Ham

Ham

Ham

Veggie

Veggie

Veggie

Veggie

(Circle choices)

(Circle choices)

(Circle choices)

(Circle choices)

Lettuce

Lettuce

Lettuce

Lettuce

Tomato

Tomato

Tomato

Tomato

Cheese

Cheese

Cheese

Cheese

Cucumbers

Cucumbers

Cucumbers

Cucumbers

Mayo

Mayo

Mayo

Mayo

Mustard

Mustard

Mustard

Mustard

Last Name

Last Name

Last Name

Last Name

First Name

First Name

First Name

First Name

Room # _______

Room # _______

Room # _______

Room # _______

Milk Order

$________

Student Name: _________________________________

Pizza Order

$________

Morning Teacher: _______________________________

Sub Order

$________

Total Amount ___________ cash or cheque

(please circle)
Cheques are payable to Caldwell Street Public School