Aurora Inn Wells Dining Visiting Team Meal Order Form

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Visiting Team Meal Order Form To: Elly Ventura

Fax number: 315-364-3397

Contact Person:

Fax number:

Cell Phone Number: Date and Time Meal is needed: How many people will be eating? Method of Payment:  Check upon receipt of meal

 Cash upon receipt of meal

Credit Card: Please provide #:

Exp Date:

CIRCLE YOUR CHOICES BELOW OR WRITE THEM IN THE COMMENTS SECTION.

Breakfast Pizza and Wings – PIZZA: CHEESE, WHITE GARLIC WITH SPINACH, PEPPERONI, GARLIC, MEATLOVERS.

WINGS: HOT, MEDIUM, MILD

ADD PASTA FOR $2.00 PER PERSON Sandwich Buffett (Please write choices in Comment section below.) Hearty Dinner – MEATLOAF, ROAST BEEF, TURKEY, OR CHICKEN Off the Line COMMENTS – PLEASE INCLUDE ANY DIETARY RESTRICTIONS/ALLERGIES IF NECESSARY:


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