Takeout Night

Wednesday night takeout orders must be placed by 3:00 PM on Wednesday.

This Order form is for March 29th, 2023

If this form does not send you to the confirmation page, you have not filled out a required field.

NOTE: If have trouble using the online form, try holding down the [Ctrl] key and then press the [F5] key.

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In any event you can call the bar to place your order during business hours at 904-652-0660 ext 2.

Name *

First

Last

Email *

Phone *

How many orders of Meatloaf would you like?

• 1
• 2
• 3
• 4
• 5

How many orders of Chicken Piccata would you like?

• 1
• 2
• 3
• 4
• 5

What kinds of salad dressings would you like? and how many? *

The choices are Balsamic Vinaigrette, Bleu Cheese, Ranch, 1000 Island, Italian, Sesame Vinaigrette, Oregano Vinaigrette, Honey Mustard, Raspberry Vinaigrette, Caesar, Citrus Vinaigrette.

Our Soup today is a Creamy Potato Leek with Ham, how many would you like?

• 1
• 2
• 3
• 4

What time would you like to pick up? *

• 5:00
• 5:15
• 5:30
• 5:45
• 6:00
• 6:15
• 6:30
• 6:45
• 7:00

Are there any special instructions? Any additional items?

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