How
Many? |
Item |
Per
Item |
Total
Cost |
| |
Pitcher of Soda (approx. 8 cups)
___Pepsi ___Diet Pepsi ___Mt. Dew ___Diet Dr.P ___ Dr. P
___Apple Juice ___Sierra ___Sunkist ___Gatorade ___Other |
$4.29 |
|
| |
Hot Dog |
$1.39 |
|
| |
Mini Burger |
$1.39 |
|
| |
Cheese Pizza (16 inch)
8 or 10 Slices (Circle
One) |
$12.29 |
|
| |
Pepperoni Pizza (16 inch)
8 or 10 Slices (Circle One) |
$13.38 |
|
| |
Chips (Small Bowl, serves approximately 15) |
$3.79 |
|
| |
Chips (Large Bowl, serves approximately 30) |
$4.79 |
|
| |
Popcorn (Small Bowl, serves approximately 15) |
$3.79 |
|
| |
Popcorn (Large Bowl, serves approximately 30) |
$4.79 |
|
| |
Goldfish (6 oz. Bowl) |
$2.59 |
|
| |
Ice Cream Cup: ____ Vanilla ____Chocolate ____Orange
Sherbert |
$ .95 |
|
| |
Room Charge* |
$10.00 |
$10.00 |
| |
|
Sales
Tax |
|
| |
|
Total |
|