Lunch Order Template by alb17809

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									                                                            University Club
                                                        To Go Lunch Order Form
              Available for pick up Monday - Friday, 11:30am - 1:15pm   Meals must be ordered at least an HOUR prior to pick- up


 Quantity                             Item                                                      Selections (Circle)                         Price        Total
                                    Salads
             Fresh Poached Salmon Salad                                                                                                     $13.95         $0.00
             Cobb Salad                                                                                                                     $11.95         $0.00
             Half Order Cobb Salad                                                                                                           $6.95         $0.00
             Grilled Pear Salad                                                                                                             $11.95         $0.00
             Black Tiger Shrimp Salad                                                                                                       $13.95         $0.00
             Thai Salad with Mango and Roasted Peanuts                                                                                      $13.95         $0.00
             Caesar Salad                                               Add Grilled chicken breast ($2.75) Grilled Shrimp$3.50 Steak$4       $3.95         $0.00
             House Salad                                                Italian / Bleu Cheese / Ranch / Oil & Vinegar                        $4.50         $0.00
                                Sandwiches
             Grilled Chicken & Sun Dried Tomatoes Sandwich              Fruit or Fries                                                      $11.95         $0.00
             Roasted Vegetable Sandwich                                 Fruit or Fries                                                      $10.95         $0.00
             UClub Sandwich                                             White / Wheat / Rye / Fruit or Fries                                $10.95         $0.00
             Uclub Burger                                               Fruit or Fries Add Cheese ($.50); Avocado ($1.00) Bacon ($1.50)     $10.95         $0.00
             Turkey-Cran Sandwich                                       Fruit or Fries                                                      $11.95         $0.00
                                    Entrees
             Fresh Atlantic Salmon                                      Mashed Potatoes / Rice                                              $14.95         $0.00
             Almond Crusted Halibut                                     Mashed Potatoes / Rice                                              $14.95         $0.00
             Sauteed Orange Roughy                                      Mashed Potatoes / Rice                                              $14.95         $0.00
             Stuffed Filet of Sole "En Papillote"                       Rice / Pappardelle Pasta                                            $15.95         $0.00
             Club Steak                                                 Mashed Potatoes / Rice                                              $14.95         $0.00
             Medallion of Filet Mignon                                  Mashed Potatoes / Rice                                              $16.95         $0.00
             Chicken Parmagiana                                         Pasta                                                               $14.95         $0.00
             Grilled Portobello Mushrooms                               Served with Grilled Vegetables and Wild Rice                        $11.95         $0.00



                                    Desserts
             New York Cheesecake with Raspberry Sauce                                                                                       $4.95          $0.00
             No Added Sugar N.Y. Cheesecake                                                                                                 $4.95          $0.00
             Tiramisu                                                                                                                       $4.95          $0.00
             Grand Marnier Cake                                                                                                             $4.95          $0.00
                                  Beverages
             Soda                                                       Pepsi / Diet Pepsi / Sierra Mist                                    $1.00          $0.00
             Iced Tea                                                   Unsweetened / Raspberry                                             $1.00          $0.00
             Other                                                      Bottled Water / Pink Lemonade                                       $1.00          $0.00

             Special Instructions                                                                                                             Subtotal     $0.00
                                                                                                                                          Tax (8.75%)      $0.00
                                                                                                                                                 Total     $0.00
Name:                                                                                                Pick Up Time
Telephone                                                                                                 Email
Email Orders to: uclub@uci.edu *** Fax Orders to (949) 824-8084 *** Call Orders in to (949) 824-7960

								
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