Fast Food Order Form


Take Out
Dine in

Your Name:


Your Order:

Choose your meal:

Toppings: (up to 3 free, 25 cents for every extra)
ketchup mustard
relish tomato
pickle lettuce
hot peppers
ranch

Side Option:

Drinks:

Soft Drink ($1.00 each)
Juice ($1.50 each)
Water ($1.50 each)
Coffee ($1.75 each)
Milkshakes ($4.00 each)
Tea ($1.50 each)

Special Instructions (e.g. cream/sugar in coffee, soft drink flavour, extra toppings, etc):


Order Summary: