Salem Presbytery Racial Equity Equipping

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Share your mailing address for your book and then your preferences for your Jersey Mike's boxed lunch!

Email *

Your Name: *

Mobile Phone Number (in case we have any questions): *

BEST Mailing Address (where you can receive the equipping book): *

Jersey Mike's Sandwich Choices -- please choose one: *

The Veggie: Swiss Cheese, Provolone Cheese, and Green Bell Pepper

The OG Italian: Provolone Cheese, Ham, Prosciuttini, Cappacuolo, Salami, Pepperoni

Roast Beef and Provolone Cheese

Turkey and Provolone Cheese

Bread Choice - please choose one: *

White Bread

Wheat Bread

Rosemary Parmesan Bread

Gluten-Free Bread

Sandwich Amendments Choices - select all you would like included on your sandwich: *

Onions

Lettuce

Tomatoes

Red Wine Vinegar

Olive Oil Blend

Oregano

Salt

Jalapenos

Mustard

Mayonnaise

I don't care for any of these amendments.

Other:

Required

Chip Choice - please choose one: *

Lays Classic Potato Chips

Miss Vickie's Sea Salt and Vinegar

Doritos Cool Ranch

Doritos Nacho

Miss Vickie's Jalapeno

Miss Vickie's Sea Salt

Miss Vickie's BBQ

Sun Chips Cheddar

Sun Chips Salsa

Lays BBQ

Lays Sour Cream & Onion

Ruffles Cheddar and Sour Cream

Cheetos

Ruffles Original

Flamin Hot Cool Ranch Doritos

Miss Vickie's Spicy Dill Pickle

I don't care for chips.

Cookie Choice - please choose one: *

Chocolate Chip Cookie

Brownie

Snicker Doodle (Gluten-Free)

I don't care for a cookie.

Please share anything else you would like for us to know about your lunch needs.

I have completed my registration payment by going to this link: https://www.salemracialequity.org/register

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