JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Chapel Grille
Dinner To Go: Available December 1-3rd & 6th
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email address
Dinner Package
*
Eggplant Parmesan with Penne, Salad, Rolls, assorted cookies and brownies
Eggplant Dinner Feeds a party of 4 $60
Eggplant Dinner Feeds a party of 8 $120
Add a Bottle of House Wine with your order?
House Red $15
House White $15
Clear selection
How would you like your meal at pick up?
*
Hot and ready to serve
Chilled with reheat instructions
Date of Pick up (Pick ups are only available during business hours Tuesday - Thursday and Sunday)
*
DD
/
MM
/
YYYY
Time of Pick up
*
Day of orders must be submitted by 3pm. Pick up is available after 4pm.
Time
:
Contact Person Name
*
Your answer
Contact Person Phone Number
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
