Lunch Order Form for May Chamber Luncheon

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Lunch Order Form for May Chamber Luncheon - Breakers Pub

If you chose to pre-order your lunch on registration, this order is due by Monday, June 14th at 3pm. If you have any food allergies, please add them below. Pick up time would be 11:30am or other times requested on Wednesday, June 14th at Breakers Pub

MUST REGISTER FIRST BEFORE FILLING OUT FORM:
http://business.princerupertchamber.ca/events/details/chamber-lunch-dp-world-and-british-columbia-maritime-employers-association-bcmea-937

First Name & Last Name *

Email *

Phone Number *

Meal Type Selection *

Meat Option: Triple Pork Burger & Choice of Side - Pulled pork, double smoked bacon, bbq sauce

Vegetarian Option: Kale Apple Salad - Green kale with smoked pear and cider dressing, cayenne candied pecans, dried cherries, apple

Did you order the meat option? Pick a side option if you did: *

French Fries

Mixed Seasonal Greens

Cup of Soup of the Day

No, I did not order a meat option

Any Allergies? *

Will pick-up time at 11:30am on Weds, May 19th work? If not, please let us know what time we expect. *

Any other comments on order (eg. take any items out of order)

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