FAX ORDER FORM
                              TELEPHONE 918-496-1246    FAX 918-496-2199

 

TODAY'S DATE:  __________________________________     #of Guests_____________________

CREDIT CARD #____________________________________EXP______________V-CODE______

NAME:  _________________________________COMPANY NAME:______________________

DELIVERY ADDRESS:  _____________________________________________________________

ORDER:___________________________________________________________________________

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CUSTOMER NAME  _____________________________________________________________

PHONE: WK/____________________HM/CELL_______________________FAX______________

PICK UP TIME______________________DELIVERY TIME_____________________________

EVENT DATE: ________________________  EVENT TIME: ____________________________

a minimum delivery charge of $20.00 will be added to your total

LAMBRUSCO'Z TO GO

DELI & CATERING MARKET
1344 E. 41st Street | tulsa | 918-496-1246 tele | 918-496-2199 fax

hours | mon, wed, thurs, fri 11:00 - 7:00 | tues 11:00 - 8:00 live music 5:00-8:00 | sat 10-5

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