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							                                      Panera Boxed Lunch Order Form

                                      To place your order, simply print this order form
                                      and have each person in your group enter their
                                      boxed lunch choice. Then, fax or email it to us.
                                      Please call after sending to confirm your order.
                                      Have your credit card ready.

            PH: (757) 575-8566        Nicki.Tickle@PaneraBread.com

            Company                                            Phone #:
        Contact Name                                         Contact #:
     Company Address
          Order Date:                                             Time:
     Delivery Address:
           Check one:    [ ] I'll pick up the order           [ ] Deliver it to me

      Name on Box        Sandwich           Salad           Cookie        Other Instructions
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   Signature Sandwich $9.99                                Café Sandwich $8.99

Served with potato chips, a pickle & a                 Served with potato chips, a pickle
       freshly baked cookie.                               & a freshly baked cookie.

  Napa Almond Chicken Salad                                  Sierra Turkey
        Italian Combo                                     Mediterranean Veggie
     Bacon Turkey Bravo                                   Smoked Turkey Breast
      Asiago Roast Beef                                   Smoked Ham & Swiss
                                                               Tuna Salad
                                                               Roast Beef

    Signature Salads $9.99                                    Cafe Salad $8.99
 Served with a portion of French or                     Served with a portion of French
 Whole Grain baguette & a freshly                        or Whole Grain baguette & a
           baked cookie.                                     freshly baked cookie.
     BBQ Chopped Chicken                                           Greek
     Chopped Chicken Cobb                                          Caesar
     Grilled Chicken Caesar                                        Classic
     Asian Sesame Chicken
       Fuji Apple Chicken

                           Half Sandwich & Half Salad $8.99

                       Served with a portion of French or Whole Grain
                             baguette & a freshly baked cookie.

                        Choose any of the sandwiches & salads
                                    listed above.

              Cookies                                            Beverages
        Chocolate Chipper                              Add a 20 oz. Pepsi Product $1.89
          Oatmeal Raisin                                             Pepsi
            Shortbread                                            Diet Pepsi
    Chocolate Duet with Walnuts                                  Sierra Mist
            Toffee Nut                                       Bottled Water $1.75