SALEM EVANGELICAL CHURCH -- ANGEL FOOD  ORDER FORM
                                                                                                     JULY  2009



                                                     LAST DAY TO PLACE & PAY FOR YOUR ORDER IS MONDAY JULY 13, 2009
                                                                           DISTRIBUTION DAY IS SATURDAY, JULY 25, 2009


To take advantage of this ministry please read these instructions CAREFULLY:

1.  Fill out the order form and turn it in with your payment – CASH or MONEY ORDER payable to SALEM CHURCH (no personal
checks, no food stamps) – on any Sunday morning (10:00 – 10:30 or 11:30 – 11:45),
or place your order and payment in a self-
addressed envelope (don’t seal it – just tuck in the flap – we will use it to mail the receipt to you) and deposit it at the north entrance
to the sanctuary,
or come to the Church to place your order on Mon. July 13, 2009 (9:00 am - 11:30 am). Orders must be received
by 11:30 am.

2.  Pick up your order on Saturday, July 25, 2009 between 9:00 and 10:00 am at the church (rear/lower level parking lot).

3.  Please bring a large box to “trade in” on the day of the pickup. You will not get “your” box back.


                                        All orders not picked up at the specified time will be donated to a local food pantry.
                                                                  If you have any questions, call Les Krone (314) 522-3370


ORDER FORM

Name _________________________________________ Phone ___________________

Qty _____ Regular Box (all 17 items listed)                                                                               @ $30.00 each  $_________

Qty _____ Senior Box (all ten meals listed)                                                                                @ $28.00 each  $_________

Qty _____ Allergen – Free Box (all five items listed)                                                                 @ $25.00 each  $_________

       *** You MUST order at least one of the Boxes listed above to be eligible to order the Specials ***

Qty _____ Special #1:  Assorted Meat Box                                                                                  @ $23.00 each  $ ________

Qty _____ Special #2:  Steak Combo                                                                                           @ $22.00 each  $ ________

Qty _____ Special #3:  Gourmet Flavored Chicken Breast Fillets                                          @ $20.00 each $ _________

Qty _____ Special #4:  T-Bone Special                                                                                        @ $21.00 each $ _________

Qty _____ Special #5:  Fresh Fruit and Veggie Box                                                                   @ $22.00 each $ _________

Qty _____Special #6: Latin Flavors Fresh Fruit & Veggie Box                                                 @ $22.00 each $ _________
   
 
                                                                                                                                                            Total Amount:  $ __________


                         Payment – cash or money order payable to SALEM CHURCH – Is due when you place your order.
                                                                  If you have any questions, call Les Krone  (314) 522-3370