The Club at Neptune Cove Sample Takeout Form (Calc)

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)

@ $5.00 =

Appetizer 2 ($5)

@ $5.00 =

Appetizer 3 ($5)

@ $5.00 =

Soups

Soup 1 ($6)

@ $6.00 =

Soup 2 ($6)

@ $6.00 =

Soup 3 ($6)

@ $6.00 =

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)

@ $10.00 =

Salad 2 ($10)

@ $10.00 =

Salad 3 ($10)

@ $10.00 =

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)

@ $15.00 =

Entr�e 2 ($15)

@ $15.00 =

Entr�e 3 ($15)

@ $15.00 =

Dessert

Dessert 1 ($6)

@ $6.00 =

Dessert 2 ($6)

@ $6.00 =

Dessert 3 ($6)

@ $6.00 =

Additional Tip for the Staff

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Order Total

Additional Information

Notes/Special Requests & Dietary Restrictions