Highmark Lunch
             
Student's Name
Student's Grade
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
 
Mar 9 - Teriyaki Chicken & Veggie with White:   $3.00   Quantity:   Item Subtotal:  
$0.00
Mar 9 - Orange Chicken with White Rice:   $3.00   Quantity:   Item Subtotal:  
$0.00
Mar 16 - Teriyaki Chicken & Veggie with White:   $3.00   Quantity:   Item Subtotal:  
$0.00
Mar 16 - Orange Chicken with White Rice:   $3.00   Quantity:   Item Subtotal:  
$0.00
Mar 16 - 5th grade field trip to JA
Will be eating lunch there
Mar 23 - Teriyaki Chicken & Veggie with White:   $3.00   Quantity:   Item Subtotal:  
$0.00
Mar 23 - Orange Chicken with White Rice:   $3.00   Quantity:   Item Subtotal:  
$0.00
Mar 30 - Teriyaki Chicken & Veggie with White:   $3.00   Quantity:   Item Subtotal:  
$0.00
Mar 30 - Orange Chicken with White Rice:   $3.00   Quantity:   Item Subtotal:  
$0.00
 
Chick-Fil-A - Tuesday
 
Mar 10 - Chicken Sandwich:   $3.25   Quantity:   Item Subtotal:  
$0.00
Mar 10 - 8 Piece Nuggets:   $3.25   Quantity:   Item Subtotal:  
$0.00
Mar 17 - Chicken Sandwich:   $3.25   Quantity:   Item Subtotal:  
$0.00
Mar 17 - 8 Piece Nuggets:   $3.25   Quantity:   Item Subtotal:  
$0.00
Mar 24 - Chicken Sandwich:   $3.25   Quantity:   Item Subtotal:  
$0.00
Mar 24 - 8 Piece Nuggets:   $3.25   Quantity:   Item Subtotal:  
$0.00
Mar 31 - Chicken Sandwich:   $3.25   Quantity:   Item Subtotal:  
$0.00
Mar 31 - 8 Piece Nuggets:   $3.25   Quantity:   Item Subtotal:  
$0.00
 
Domino's Pizza - Wednesday
Domino's Pepperoni Pizza (1 Slice)
 
Mar 11 - Pizza Slice:   $1.00   Quantity:   Item Subtotal:  
$0.00
Mar 18 - Pizza Slice:   $1.00   Quantity:   Item Subtotal:  
$0.00
Mar 25 - Pizza Slice:   $1.00   Quantity:   Item Subtotal:  
$0.00
Apr 1 - Pizza Slice:   $1.00   Quantity:   Item Subtotal:  
$0.00
 
Costa Vida - Thursday
 
Mar 12 - 2 Cheese Quesadillas with Rice:   $3.50   Quantity:   Item Subtotal:  
$0.00
Mar 12 - Sweet Pork Taco with Rice:   $3.50   Quantity:   Item Subtotal:  
$0.00
Mar 12 - Chicken Enchilada with Rice:   $3.50   Quantity:   Item Subtotal:  
$0.00
Mar 12 - Small Sweet Pork Salad:   $3.50   Quantity:   Item Subtotal:  
$0.00
 
Mar 19 - 2 Cheese Quesadillas with Rice:   $3.50   Quantity:   Item Subtotal:  
$0.00
Mar 19 - Sweet Pork Taco with Rice:   $3.50   Quantity:   Item Subtotal:  
$0.00
Mar 19 - Chicken Enchilada with Rice:   $3.50   Quantity:   Item Subtotal:  
$0.00
Mar 19 - Small Sweet Pork Salad:   $3.50   Quantity:   Item Subtotal:  
$0.00
 
Mar 26 - 2 Cheese Quesadillas with Rice:   $3.50   Quantity:   Item Subtotal:  
$0.00
Mar 26 - Sweet Pork Taco with Rice:   $3.50   Quantity:   Item Subtotal:  
$0.00
Mar 26 - Chicken Enchilada with Rice:   $3.50   Quantity:   Item Subtotal:  
$0.00
Mar 26 - Small Sweet Pork Salad:   $3.50   Quantity:   Item Subtotal:  
$0.00
 
Apr 2 - 2 Cheese Quesadillas with Rice:   $3.50   Quantity:   Item Subtotal:  
$0.00
Apr 2 - Sweet Pork Taco with Rice:   $3.50   Quantity:   Item Subtotal:  
$0.00
Apr 2 - Chicken Enchilada with Rice:   $3.50   Quantity:   Item Subtotal:  
$0.00
Apr 2 - Small Sweet Pork Salad:   $3.50   Quantity:   Item Subtotal:  
$0.00
 
 
Maverik - Friday
 
March 13 -- No School
 
Mar 20 - French Toast & Sausage Tornado:   $1.75   Quantity:   Item Subtotal:  
$0.00
Mar 20 - Cheesy Pepper Jack Tornado:   $1.75   Quantity:   Item Subtotal:  
$0.00
Mar 20 - Corn Dog:   $1.75   Quantity:   Item Subtotal:  
$0.00
Mar 20 - Box of Mini Tacos:   $3.00   Quantity:   Item Subtotal:  
$0.00
 
Mar 27- French Toast & Sausage Tornado:   $1.75   Quantity:   Item Subtotal:  
$0.00
Mar 27 - Cheesy Pepper Jack Tornado:   $1.75   Quantity:   Item Subtotal:  
$0.00
Mar 27 - Corn Dog:   $1.75   Quantity:   Item Subtotal:  
$0.00
Mar 27 - Box of Mini Tacos:   $3.00   Quantity:   Item Subtotal:  
$0.00
 
Apr 3 - French Toast & Sausage Tornado:   $1.75   Quantity:   Item Subtotal:  
$0.00
Apr 3 - Cheesy Pepper Jack Tornado:   $1.75   Quantity:   Item Subtotal:  
$0.00
Apr 3 - Corn Dog:   $1.75   Quantity:   Item Subtotal:  
$0.00
Apr 3 - Box of Mini Tacos:   $3.00   Quantity:   Item Subtotal:  
$0.00
 
 
Total:
$0.00

Payer's Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone:
Email:
Payment Information
Method of Payment:
Processing Fee Rates:
Cards: 1%
eCheck (ACH): Free
Update name from Payer's Information
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Confirm Account Number:
Credit Card Number: (Type number or swipe with cursor in this empty field)
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from Payer's Information
Cardholder's Name:
Billing ZIP/Postal Code:
 

Please be aware that payments will reflect on your statement as 

Schools 800-764-0844 Clinton UT

 
 

Submitting ...
Use Instant Payments to accept payments for your business.
SIP Program & Data © 2006-2020 Instant Payments All rights reserved.
~ Terms & Conditions ~ Privacy Policy ~ Contact Us ~
SIP Version 3.01.10668; (API: 2.16)
RSI Security PCI DSS Compliance Instant Payments BBB Business Review Get Help