Hot Lunch Order Form  

Last Name: Meal Total $: _________ ​December 2020   

 

Sunday  Monday  Tuesday  Wednesday  Thursday  Friday  Saturday 

    ​ 1  2  3  4  5 
      Soup & Grilled Cheese  Baked Ziti w/ Broccoli  These meals were   
offered on the 
(pasta w/ meat sauce)  November calendar.  
 
 

6  7  8  9  ​ 10  11  12 

   
  Breakfast for Lunch  Chicken Alfredo 
   
(french toast casserole    
and sausage)   Casserole   
(GF & Vegan Options) 
13   14  15  16  ​ ​17  18   19 
      Chili & Chips  Pizza Day!      
 
(w/ side of salad) 
Peperoni: # _______ 
Cheese: #________ 
  
Hawaian: # ________ 
(GF & Vegan Options) 
(GF & Vegan Options)  
         
   
20  21  22  23  24  25  26 
 
   
      Merry Christmas! 

​ ot Lunch Program:​ ​($6 per meal)  

H
● On the calendar above,​ circle the date and write the number of meals requested for that day in the box​.  
● Add up the total cost of meals for the month and​ write the total at the top of this form along with your last name​. 
● Include the total amount with your monthly fee to GM Heritage LLC (on one check)​.  
● Return this calendar to the box at the gate the Thursday prior to receiving meals.  
● Keep a personal record of lunch dates for your reference or use our website ​www.gmheritage.weebly.com​.  
● Reminder​: Please remember to pack a snack for your child/children on hot lunch days. Thank-you!