Note: You are no longer required to purchase a signature box in order to purchase specials. You may order any box(es) in any quantity.
Angel Food Order Form
September, 2010
Orders due by 2:00 p.m. on September 19, 2010
Distribution on September 25, 2010 from 9:00-10:00 a.m.
Name: _______________________________________
Address:______________________________________
_____________________________________________
Phone:______________________ Cell:_____________
Email:________________________________________
___ New Customer ___ Repeat Customer
Bit O'Blessing Box __________ x $21= $ _________________
Bread of Life Signature Box__________x $31 = $_____________
Bountiful Blessing Box_____________x $41 = $______________
Senior Box____________ x $28 = $_________________
Just 4 Me - After School Box ____ x $24 = ______________
Special #1 ___________ x $25 = $ _________________
Steak Combo Box (5 lb.)
Special #2 ___________ x $22 = $ _________________
Breaded Chicken Breast Nuggets (10 lb.)
Special #3 ___________ x $23 = $ _________________
Fresh Fruit & Veggie Box
TOTAL: $_____________________
Method of Payment:
____ Cash ____Money Order ____Food Stamps ____Credit Card
____MasterCard ____Visa ____Discover
Card #________________________ Exp. Date_____________________
Security Code (3 digit # on back of card) ____________
Name as it appears on card______________________________________
Order will not be placed until payment is received.
Orders must be received by 2:00 p.m. on September 19, 2010.
Glade Mennonite Church
5011 Accident-Bittinger Road
Accident, MD 21520
301-245-4285 or 301-501-2441
