Student's Full Name: Student's Email:
Student's ID/PIN: Grade:
Lunch Period: 579 The requested date for your sandwich (mm/dd/yy):
Choose Your Bread: WhiteWheatRyeWrapKaiser Choose Meat: NoneHamTurkeyRoast BeefCapicolaGenoa SalamiTuna SaladEgg SaladChicken Salad
Choose Cheese: NoneAmericanProvoloneSwiss Choose Condiments: NoneKetchupMayoMustardSpicy Mustard
Choose Toppings:
Bread and Butter Pickles
Dill Pickle Slices
Pork Bacon
Turkey Bacon
Roasted Red Peppers
Shredded Lettuce
Sweet Peppers
Jalapeno Peppers
Banana Peppers
Tomatoes
Onions
Spinach
Other Request:
You will receive a confirmation email once you complete and submit your form. Keep in mind, if you order a sandwich and do not pick it up your pre-order privileges will be suspended.