Community Health System - Dinner for Two
Thank you for contacting us to place your order!  Please complete the requested information below.

Meals will be freshly prepared for you on the day of delivery and brought to you chilled with heating instructions.

Your Main Course includes Grilled Filet Mignon of Beef & Crab Cake with Cajun Remoulade, Seasonal Vegetable and Roasted Potatoes w/Garlic and Herbs.  

Please select your Appetizer, Salad and Dessert Courses from the available options listed below.

We look forward to serving you!  
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On what date would you like to receive your order? (Please select only from the dates shaded in green. 5 days' advance notice is requested)   *
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Your Full Name *
Your CMC Employee ID *
Phone number *
E-mail *
Delivery Address (Street, City, Zip Code and please include Gate Code if applicable) *
Delivery Instructions *
Appetizer For Two (Select One)
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Salad for Two (Select One)
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Dessert for Two (Select One)
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Please list Allergies, Requests or other Special Instructions, if any:
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