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
Nov 25 - Teriyaki Chicken & Veggie with White:
$3.00
Quantity:
Item Subtotal:
$0.00
Nov 25 - Orange Chicken with White Rice:
$3.00
Quantity:
Item Subtotal:
$0.00
Dec 2 - Teriyaki Chicken & Veggie with White:
$3.00
Quantity:
Item Subtotal:
$0.00
Dec 2 - Orange Chicken with White Rice:
$3.00
Quantity:
Item Subtotal:
$0.00
Dec 9 - Teriyaki Chicken & Veggie with White:
$3.00
Quantity:
Item Subtotal:
$0.00
Dec 9 - Orange Chicken with White Rice:
$3.00
Quantity:
Item Subtotal:
$0.00
Dec 16 - Teriyaki Chicken & Veggie with White:
$3.00
Quantity:
Item Subtotal:
$0.00
Dec 16 - Orange Chicken with White Rice:
$3.00
Quantity:
Item Subtotal:
$0.00
Chick-Fil-A - Tuesday
Nov 26 - Chicken Sandwich:
$3.00
Quantity:
Item Subtotal:
$0.00
Nov 26 - 8 Piece Nuggets:
$3.00
Quantity:
Item Subtotal:
$0.00
Dec 3 - Chicken Sandwich:
$3.00
Quantity:
Item Subtotal:
$0.00
Dec 3 - 8 Piece Nuggets:
$3.00
Quantity:
Item Subtotal:
$0.00
Dec 10 - Chicken Sandwich:
$3.00
Quantity:
Item Subtotal:
$0.00
Dec 10 - 8 Piece Nuggets:
$3.00
Quantity:
Item Subtotal:
$0.00
Dec 17 - Chicken Sandwich:
$3.00
Quantity:
Item Subtotal:
$0.00
Dec 17 - 8 Piece Nuggets:
$3.00
Quantity:
Item Subtotal:
$0.00
Domino's Pizza - Wednesday
Domino's Pepperoni Pizza (1 Slice)
November 27 - No School
Dec 4 - Pizza Slice:
$1.00
Quantity:
Item Subtotal:
$0.00
Dec 11 - Pizza Slice:
$1.00
Quantity:
Item Subtotal:
$0.00
Dec 18 - Pizza Slice:
$1.00
Quantity:
Item Subtotal:
$0.00
Costa Vida - Thursday
November 28 - Thanksgiving Break
Dec 5 - 2 Cheese Quesadillas with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Dec 5 - Sweet Pork Taco with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Dec 5 - Chicken Enchilada with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Dec 5 - Small Sweet Pork Salad:
$3.50
Quantity:
Item Subtotal:
$0.00
Dec 12 - 2 Cheese Quesadillas with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Dec 12 - Sweet Pork Taco with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Dec 12 - Chicken Enchilada with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Dec 12 - Small Sweet Pork Salad:
$3.50
Quantity:
Item Subtotal:
$0.00
Dec 19 - 2 Cheese Quesadillas with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Dec 19 - Sweet Pork Taco with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Dec 19 - Chicken Enchilada with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Dec 19 - Small Sweet Pork Salad:
$3.50
Quantity:
Item Subtotal:
$0.00
Maverik - Friday
November 29 - Thanksgiving Break
Dec 6 - Corn Dog:
$1.75
Quantity:
Item Subtotal:
$0.00
Dec 6 - Box of Mini Tacos:
$3.00
Quantity:
Item Subtotal:
$0.00
Dec 13 - Corn Dog:
$1.75
Quantity:
Item Subtotal:
$0.00
Dec 13 - Box of Mini Tacos:
$3.00
Quantity:
Item Subtotal:
$0.00
Dec 20 - Corn Dog:
$1.75
Quantity:
Item Subtotal:
$0.00
Dec 20 - Box of Mini Tacos:
$3.00
Quantity:
Item Subtotal:
$0.00
Total:
$0.00
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Processing Fees:
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1%
eChecks:
Free
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on Checking Account:
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Schools 800-764-0844 Clinton UT
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