After Faxing order to 314.621.6855,
please call 314.621.0010 to verify receipt! |
JURY CATERING ORDER FORM
Box Lunches |
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DELIVER & BILL TO: |
Date: |
__________ |
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Name: |
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Street Address: |
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Suite / Floor: |
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City, State, ZIP: |
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Contact Name: |
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Contact Phone: |
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Case Number: |
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Division Number : |
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Invoice #:
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__________
Remit Payment To:
City Grocers
920 Olive St.
St. Louis, MO 63101
PH: 314.621.0010
FAX: 314.621.6855
www.city-grocers.com |
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* Please refer to Catering Fax Instructions at www.city-grocers.com for more details (printing problem? Get form as pdf).
* If Possible, please provide 24 hours' notice. Same-day orders are welcomed, subject to availability and time notice. |
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#
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Person/Name
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Sandwich or Salad Name
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Drink?
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Side Choice
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Special Request?
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Cost
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1
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2
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3
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4
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5
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6
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7
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8
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9
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10
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11
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12 |
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13
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(Use more pages if necessary)
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Sub Total
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Tax-Exempt
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0.00
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Free Delivery
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0.00
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As always, THANK YOU for letting City Grocers be of Service!
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