Your Company Name Here

First Name
Last Name
Phone #
Ext
Delivery Time

Qty Sandwiches
param(Sandwich_1)
param(Sandwich_2)
param(Sandwich_3)
param(Sandwich_4)
param(Sandwich_5)
param(Sandwich_6)
param(Sandwich_7)
param(Sandwich_8)
param(Sandwich_9)
Salads
param(Salad_1)
param(Salad_2)
param(Salad_3)
param(Salad_4)
param(Salad_5)
param(Salad_6)
param(Salad_7)
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Roger's Cafe • 43309 U.S. Hwy. 19 N.• 2nd Floor of St. Luke's Eye Center • Tarpon Springs, FL 34689 •Tel (727) 944-2013  
(After Hours (727) 423-2476)