Meals on Wheels Order Form

Meals on Wheels Order Form
Simply print this form and mail or fax (250-492-9054) to Meals on Wheels Penticton. If you like, you can also call in your order (250-492-9095). This form can also be presented this form to the Meals On Wheels Delivery Person.

Date:

Route #

Name:

Address:

Phone Number:

Delivery Date:

QTY		QTY
	Beef Dishes $6.00 EACH		Soup Selection $2.00 EACH
	-Beef & Vegetable Stew		-Meatball Noodle
	-Beef Pot Roast Dinner		-Minestrone
	-Roast Beef Dinner		-Green Pea
	-Cabbage Casser Rolls		-Chicken Noodle
	-Sheperds Pie		-Beef & Barley
	-Meat Loaf		-Navy Bean
	-Liver & Onions		Low Sodium Soups $2.00 EACH
	Chicken Dinners $6.00 EACH		-Vegetable
	-Stir Fried Chicken		-Barley Cabbage
	-Oriental Barbecued Chicken Breast		-Chicken Noodle
	-Chicken Breast in Mushroom Sauce		-Lentil
	Ham Dishes $6.00 EACH		-Creme of Broccoli
	-Baked Ham Dinner		Side Orders $5.00 EACH
	Pork Dishes $6.00 EACH		-Mashed Potatoes (3 rows)
	-Roast Pork Loin Dinner		-Rice
	Turkey Dishes $6.00 EACH
	-Roast Turkey Dinner
	Fish Dishes $6.00 EACH		Total Entrees at $6.00
	-Fillet of Sole Neptune		Total Soups at $2.00
	-Fillet of Salmon Mornay		Total Low Sodium Soups at $2.00
	Vegetarian Dishes $6.00 EACH		Total Side Orders at $5.00
	-Vegetarian Chili
	-Broccoli Cheese Quiche		Total Order $