Student's Name
Student's Grade
1
2
3
4
5
6
7
8
9
Adult
Only order for
one
student at a time.
If you order for more than more than one student, your order
will not
process properly.
Sorry for any inconvenience this may cause you.
Rumbi Island Grill - Monday
Jan 27 - Teriyaki Chicken & Veggie with White:
$3.00
Quantity:
Item Subtotal:
$0.00
Jan 27 - Orange Chicken with White Rice:
$3.00
Quantity:
Item Subtotal:
$0.00
Feb 3 - Teriyaki Chicken & Veggie with White:
$3.00
Quantity:
Item Subtotal:
$0.00
Feb 3 - Orange Chicken with White Rice:
$3.00
Quantity:
Item Subtotal:
$0.00
Feb 10 - Teriyaki Chicken & Veggie with White:
$3.00
Quantity:
Item Subtotal:
$0.00
Feb 10 - Orange Chicken with White Rice:
$3.00
Quantity:
Item Subtotal:
$0.00
February 17 - No School
Chick-Fil-A - Tuesday
Jan 28 - Chicken Sandwich:
$3.00
Quantity:
Item Subtotal:
$0.00
Jan 28 - 8 Piece Nuggets:
$3.00
Quantity:
Item Subtotal:
$0.00
Feb 4 - Chicken Sandwich:
$3.00
Quantity:
Item Subtotal:
$0.00
Feb 4 - 8 Piece Nuggets:
$3.00
Quantity:
Item Subtotal:
$0.00
Feb 11 - Chicken Sandwich:
$3.00
Quantity:
Item Subtotal:
$0.00
Feb 11 - 8 Piece Nuggets:
$3.00
Quantity:
Item Subtotal:
$0.00
Feb 18 - Chicken Sandwich:
$3.00
Quantity:
Item Subtotal:
$0.00
Feb 18 - 8 Piece Nuggets:
$3.00
Quantity:
Item Subtotal:
$0.00
Domino's Pizza - Wednesday
Domino's Pepperoni Pizza (1 Slice)
Jan 29 - Pizza Slice:
$1.00
Quantity:
Item Subtotal:
$0.00
Feb 5 - Pizza Slice:
$1.00
Quantity:
Item Subtotal:
$0.00
Feb 12 - Pizza Slice:
$1.00
Quantity:
Item Subtotal:
$0.00
Feb 19 - Pizza Slice:
$1.00
Quantity:
Item Subtotal:
$0.00
Costa Vida - Thursday
Jan 30 - 2 Cheese Quesadillas with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Jan 30 - Sweet Pork Taco with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Jan 30 - Chicken Enchilada with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Jan 30 - Small Sweet Pork Salad:
$3.50
Quantity:
Item Subtotal:
$0.00
Feb 6 - 2 Cheese Quesadillas with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Feb 6 - Sweet Pork Taco with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Feb 6 - Chicken Enchilada with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Feb 6 - Small Sweet Pork Salad:
$3.50
Quantity:
Item Subtotal:
$0.00
Feb 13 - Chicken Enchilada with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Feb 13 - Sweet Pork Taco with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Feb 13 - 2 Cheese Quesadillas with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Feb 13 - Small Sweet Pork Salad:
$3.50
Quantity:
Item Subtotal:
$0.00
Feb 20 - 2 Cheese Quesadillas with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Feb 20 - Sweet Pork Taco with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Feb 20 - Chicken Enchilada with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Feb 20 - Small Sweet Pork Salad:
$3.50
Quantity:
Item Subtotal:
$0.00
Maverik - Friday
Jan 31 - French Toast & Sausage Tornado:
$1.75
Quantity:
Item Subtotal:
$0.00
Jan 31 - Cheesy Pepper Jack Tornado:
$1.75
Quantity:
Item Subtotal:
$0.00
Jan 31 - Corn Dog:
$1.75
Quantity:
Item Subtotal:
$0.00
Jan 31 - Box of Mini Tacos:
$3.00
Quantity:
Item Subtotal:
$0.00
Feb 7 - French Toast & Sausage Tornado:
$1.75
Quantity:
Item Subtotal:
$0.00
Feb 7 - Cheesy Pepper Jack Tornado:
$1.75
Quantity:
Item Subtotal:
$0.00
Feb 7 - Corn Dog:
$1.75
Quantity:
Item Subtotal:
$0.00
Feb 7 - Box of Mini Tacos:
$3.00
Quantity:
Item Subtotal:
$0.00
Feb 14 - French Toast & Sausage Tornado:
$1.75
Quantity:
Item Subtotal:
$0.00
Feb 14 - Cheesy Pepper Jack Tornado:
$1.75
Quantity:
Item Subtotal:
$0.00
Feb 14 - Corn Dog:
$1.75
Quantity:
Item Subtotal:
$0.00
Feb 14 - Box of Mini Tacos:
$3.00
Quantity:
Item Subtotal:
$0.00
Feb 21- French Toast & Sausage Tornado:
$1.75
Quantity:
Item Subtotal:
$0.00
Feb 21 - Cheesy Pepper Jack Tornado:
$1.75
Quantity:
Item Subtotal:
$0.00
Feb 21 - Corn Dog:
$1.75
Quantity:
Item Subtotal:
$0.00
Feb 21 - Box of Mini Tacos:
$3.00
Quantity:
Item Subtotal:
$0.00
Total:
$0.00
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Processing Fee Rates:
Cards:
1%
eCheck (ACH):
Free
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on Checking Account:
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Schools 800-764-0844 Clinton UT
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