Order Form CC4U (Archive)

Client Meal Selection & Order Form To place your next Meal Order via email, complete this form and print out a copy on your printer. Press the "Send Order" button at the bottom of the page to email the order to me. On the printed copy, please add your signature and leave the signed copy in your kitchen on the day I come to cook, for my records. I will call you to confirm receipt of your order. Client Info Your Name Cookday (Day of week & Date - MM/DD/YY) Meal Selections Use notes area for comments to me & portions wanted (if more than 4) #1 Notes: #2 Notes: #3 Notes: #4 Notes: #5 Notes: Alternate meal choice in case ingredients are not available for one of the five meals above: Alt Notes: Cookday Instructions: Leave portions of Meal # unfrozen, for tonight's or tomorrow's dinner. Other: Signature: _____________________________________(please sign printed & fax copies) Your email address (ie user@domainname.domaintype) When you are done, press Or, to erase everything and start over, press Press the back button on your browser to come back here to print another copy of this Order for your records (the page will close when you press "Send Order"). If you prefer sending you order via FAX, you can just print out blank copies of this form, fill one out by hand, and transmit the completed form (with your signature at bottom) using your fax machine. Carmen Cooks 4U PO Box 1436 - Anacortes, WA 98221 Voice: 360-293-3264 - Fax: 360-588-8855 Email: carmen@diversys.com