Angel Food Order Form
December, 2008
Orders due by December 8th
Distribution on December 20th
Name: _______________________________________
Address:______________________________________
_____________________________________________
Phone:______________________ Cell:_____________
Email:________________________________________
___ New Customer ___ Repeat Customer
Regular Box __________ x $30 = $ _________________
Senior Box____________ x $28 = $_________________
Christmas Box_________ x $35 = $__________________
Special #1 ___________ x $22 = $ _________________
6.5 lb. Grill Box
Special #2 ___________ x $21 = $ _________________
4.5 lb. Meat Combo
Special #3 ___________ x $21 = $ _________________
10 lb. Unbreaded Boneless/Skinless Chicken Breasts
Special #4___________ x $21 = $__________________
Fresh Fruit & Veggie Box
Special #5___________ x $26 = $__________________
Holiday Mixed Fruit Gift Box
Special #6___________ x $20 = $__________________
Holiday Meat and Cheese Gift Box
TOTAL: $_____________________
Order will not be placed until payment is received.
Orders must be received by December 8th.
We only accept: Cash (correct amount), Food Stamps,
Certified Check, Money Order
NO PERSONAL CHECKS, PLEASE
Glade Mennonite Church
5011 Accident-Bittinger Road
Accident, MD 21520
301-245-4285 or 301-501-2441
