St. Pius X Parish School Yearly Fun Lunch Order Form
St. Pius X Parish School Yearly Fun Lunch Order Form
St. Pius X Parish School Yearly Fun Lunch Order Form
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<strong>St</strong>. <strong>Pius</strong> X <strong>Parish</strong> <strong>School</strong><br />
<strong>Yearly</strong> <strong>Fun</strong> <strong>Lunch</strong> <strong>Order</strong> <strong>Form</strong><br />
Please complete the box for each time you would like to order a fun lunch for your child. <strong>Fun</strong> lunches are optional.<br />
On the days we serve fun lunch, however, there will be no hot lunch or milk available.<br />
When you are done, please complete the bottom <strong>Order</strong> Summary section. Pay the Grand Total amount by check<br />
only and return to the school office by August 23, 2011. If you have any questions, please contact the school office<br />
at (630) 627-2353.<br />
Basic Pizza <strong>Lunch</strong><br />
Basic Hot Dog <strong>Lunch</strong><br />
1 slice of pizza<br />
1 drink<br />
1 dessert<br />
1 hot dog<br />
1 chip<br />
1 drink<br />
October 11<br />
_____ Basic Pizza <strong>Lunch</strong> $5<br />
_____ Extra Slice $1.50<br />
_____ October Total<br />
October 27<br />
_____ Basic Hot Dog <strong>Lunch</strong> $5<br />
_____ Extra Hot Dog $1.50<br />
_____ October Total<br />
November 14<br />
_____ Basic Pizza <strong>Lunch</strong> $5<br />
_____ Extra Slice $1.50<br />
_____ November Total<br />
November 30<br />
_____ Basic Hot Dog $5<br />
_____ Extra Hot Dog $1.50<br />
_____ November Total<br />
December 6<br />
_____ Basic Pizza <strong>Lunch</strong> $5<br />
_____ Extra Slice $1.50<br />
_____ December Total<br />
January 4<br />
_____ Basic Hot Dog <strong>Lunch</strong> $5<br />
_____ Extra Hot Dog $1.50<br />
_____ January Total<br />
January 17<br />
_____ Basic Hot Dog $5<br />
_____ Extra Hot Dog $1.50<br />
_____ January Total<br />
February 1<br />
_____ Basic Pizza <strong>Lunch</strong> $5<br />
_____ Extra Slice $1.50<br />
_____ February Total<br />
February 21<br />
_____ Basic Hot Dog <strong>Lunch</strong> $5<br />
_____ Extra Hot Dog $1.50<br />
_____ February Total<br />
Please turn over for remainder of the year<br />
Name: ___________________________________________ Room No. _____________
Basic Pizza <strong>Lunch</strong><br />
1 slice of pizza<br />
1 drink<br />
1 dessert<br />
1 hot dog<br />
1 chip<br />
1 drink<br />
Basic Hot Dog <strong>Lunch</strong><br />
March 6<br />
_____ Basic Pizza <strong>Lunch</strong> $5<br />
_____ Extra Slice $1.50<br />
_____ March Total<br />
March 16<br />
_____ Basic Hot Dog <strong>Lunch</strong> $5<br />
_____ Extra Hot Dog $1.50<br />
_____ March Total<br />
March 28<br />
_____ Basic Pizza <strong>Lunch</strong> $5<br />
_____ Extra Slice $1.50<br />
_____ March Total<br />
April 10<br />
_____ Basic Hot Dog $5<br />
_____ Extra Hot Dog $1.50<br />
_____ April Total<br />
April 25<br />
_____ Basic Pizza <strong>Lunch</strong> $5<br />
_____ Extra Slice $1.50<br />
_____ April Total<br />
May 3<br />
_____ Basic Hot Dog <strong>Lunch</strong> $5<br />
_____ Extra Hot Dog $1.50<br />
_____ May Total<br />
May 16<br />
_____ Basic Pizza <strong>Lunch</strong> $5<br />
_____ Extra Slice $1.50<br />
_____ May Total<br />
May 29<br />
_____ Basic Hot Dog <strong>Lunch</strong> $5<br />
_____ Extra Hot Dog $1.50<br />
_____ May Total<br />
.<br />
<strong>Order</strong> Summary<br />
_____________ Total this page<br />
_____________ Total from page 1<br />
_____________ Grand Total (Add all monthly totals)<br />
Please pay by check only
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