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Food Order Form Example
Food Order Shopping Cart Example
Catering Order Form Example
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Food Order Shopping Cart
Appetizers & Side Orders
Item
Selection
Quantity
Action
Soup of the Day:
Choose Soup Size
Cup $1.75
Bowl $2.70
Add to Cart
Side Salad:
Small Salad
Add to Cart
*Dressing
Italian
Ranch
Blue Cheese
Honey Mustard
Vinaigrette
Side Salad:
Large Salad
Add to Cart
*Dressing
Italian
Ranch
Blue Cheese
Honey Mustard
Vinaigrette
French Fries:
Small Fries
Add to Cart
French Fries:
Large Fries
Add to Cart
Submarine Sandwiches
Item
Selection
Quantity
Action
Submarine Sandwich
Steak & Cheese Sub
Add to Cart
Choose Sub Size
Small $0.00
Medium $1.25
Large $2.10
Submarine Sandwich
Ham & Cheese Sub
Add to Cart
Choose Sub Size
Small $0.00
Medium $1.15
Large $2.00
Item
Drinks & Desserts
Quantity
Action
Drinks:
Choose Drinks
12 oz Can $1.25
16 oz Fountain $1.25
12 oz Fountain $0.95
10 oz Fountain $0.80
Add to Cart
Coke
Sprite
Dr. Pepper
Root Beer
Diet Coke
Desserts:
Choose Dessert
Strawberry Cheesecake $1.00
Apple Pie - 1 slice $1.99
Large Chocolate Chip Cookie $0.85
Add to Cart
Customer E-Mail
Important: Enter a valid e-mail address. Receipts will be sent to this address.
*E-Mail:
Billing Information
*First Name:
Same name as on your card
Middle Initial:
*Last Name:
*Address Line 1:
Where your statement is mailed
Address Line 2:
Apt. or Suite No.
*City:
*State:
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*Zip Code:
Phone:
Delivery Information
*Same as billing info
Yes
No
*First Name:
Middle Initial:
*Last Name:
*Address Line 1:
*Address Line 2:
*City:
*State:
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
*Zip Code:
Payment Information
*Payment Method:
Credit Card
Cash on Delivery (C.O.D.)
*Card Number:
No dashes or spaces please
*Expiration Month:
Month
January
February
March
April
May
June
July
August
September
October
November
December
From your card
*Expiration Year:
Year
2009
2010
2011
2012
2013
2014
2015
2016
From your card
*Card Brand:
Choose a Card
American Express
Discover
Master Card
Visa
Reset
Submit
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