BIRTLE COLLEGIATE HOT MEALS ORDER FORM

◄ September October 2016Sun Mon Tue Wed Thu Fri Sat

1

2 3Hamburger -

$3.00 Or

Cheeseburger $3.50

4 5Pancakes & Sausages

$3.00

6 7Quesadilla -

$3.50Chicken or

Cheese(Circle)

8Week Total

$___________

9 10No School

11 4 12Taco in a Bag

$4.00

13 14Spaghetti & Garlic Toast

$3.00

15Week Total

$___________

16 17Grilled Cheese &

Tomato Soup$3.00

18 19 Chicken Caesar Wrap

orCaesarSalad &

Breadstick(Circle)$3.00

20 21No School

22Week Total

$___________

23 24Chicken Strips and Tater Tots

$3.00

25 26Perogies &

Smokie$3.50

27 28 Pizza - $2.00 Slice

Cheese orPepperoni

(Circle)Qty _____

Total $_____

29 Week Total

$___________

30 31Mac & Cheese &

Hot Dog$3.00

Week Total MONTH TOTAL

PLEASE CIRCLE CHOICE AND QUANTITY AND TOTAL FOR WEEK AND MONTH. MAKE CHEQUES PAYABLE TO BCI -THANK YOU. TOTAL AMOUNT ENCLOSED $___________________ CASH/CHEQUE