HOT LUNCH PROGRAM ORDER FORM GRADES K-8
March 2008
Daily cost per meal: $3.00 (includes hot or cold entrée and milk choice)
Extra Entrée: $1.00 per entrée Milk Choice Only: $.40 per day
Attached is the monthly menu. Please select (Ö) meal choice/ extra entrée only. If you would like milk only, please select (Ö) mark Milk Only. Indicate Choice of Milk.
March 3 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 4 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 5 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 6 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 7 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 10 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 11 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 12 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 13 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 14 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 17 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 18 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 19 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 20 (K-4 ONLY) ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 24 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 25 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 26 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 27 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 28 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
March 31 ____Choice A ___Choice B ___Extra Entrée _____Milk Only
Milk Choice Preferred: _______Chocolate ______White
Total Meal Choice (Qty)_________x $3.00
Add Extra Entrée (Qty)_________x $1.00 Amount Enclosed $______________
Total Milk Choice Only(Qty) ______x.40 Amount Enclosed $_________________
NO CASH PLEASE. Make Checks Payable to Newtown PS Food Service
Name of Student____________________________ Grade Level*_________(see below)
Home Telephone______________________
Other Contact: (E-mail or cell telephone)__________________________
*Grade Levels are: K-1,K-2,1B,1V,2F,2J,3B,3G,4K,4R,5,6, 7, 8