The Club at Neptune Cove Sample Take-Out Form

Contact Information

First Name

Last Name

How should we contact you ?

Home Phone

Email Address

Order Information

Take-Out Date

Take-Out Time

Appetizers

Appetizer 1 ($5)

Appetizer 2 ($5)

Appetizer 3 ($5)

Soups

Soup 1 ($6)

Soup 2 ($6)

Soup 3 ($6)

Salads

Available Dressings: Dressing 1, Dressing 2, Dressing 3, Dressing 4, and Dressing 5. Please indicate your choice of dressing in the Notes/Special Requests field below.

Salad 1 ($10)

Salad 2 ($10)

Salad 3 ($10)

Main Entr�es

All entr�es are served with your choice of two sides: Side 1, Side 2, Side 3, Side 4, and Side 5. Please indicate your selections and any customization (cooking temperature, toppings, etc) in the Notes/Special Requests field below.

Entr�e 1 ($15)

Entr�e 2 ($15)

Entr�e 3 ($15)

Dessert

Dessert 1 ($6)

Dessert 2 ($6)

Dessert 3 ($6)

Additional Information

Notes/Special Requests & Dietary Restrictions