Kosher Meal Order Form

General Information
Full Name*
First NameLast Name
E-mail*
Phone Number*
Area CodePhone Number
Meal Order Information
Pick Up Date*
Pick Up TIme*
Optional Delivery
Lunch: $20
Tuna Fish
Egg Salad
Dinner: $35
Chicken Dinner
Salmon Dinner
Shabbat Meals: $70
Shabbat Dinner
Shabbat Lunch
Comments
Payment Information
All proceeds from Grand Canyon Kosher Catering go directly to benefit the work of Chabad of Flagstaff. Please consider making an additional donation to help us continue our work.
Additional Donation
$
Total
$0.00

Payment*

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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