The Country Grocer

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Country Grocer Catering Order Form

Please complete and submit the following form. All fields marked with * must be filled in.
*First Name:
*Last Name:
*Address:
*City:
*Province
*Postal Code:
*Phone Number:		( )
Pickup or Delivery?
Pickup Date:

Totals are automatically calculated

Item	Size	Quantity	Price / Unit	Item Total
Canadian Cheese	Small		$32.99
	Medium		$42.99
	Large		$51.99

Select Cheese	Small		$43.99
	Medium		$51.99
	Large		$59.99

Vegetable Dipper	Small		$22.99
	Medium		$31.99
	Large		$36.99

Deviled Eggs	Small		$24.99
	Medium		$29.99
	Large		$35.99

Sandwich Trays

Spreads	Small		$28.99
	Medium		$39.99
	Large		$49.99

Cold Meat	Small		$29.99
	Medium		$41.99
	Large		$52.99

Old Fashion Buffet	Small		$35.99
	Medium		$49.99
	Large		$59.99

Italian Feast	Small		$36.99
	Medium		$42.99
	Large		$59.99

Croissant Sandwich	6's		$19.99
	12's		$34.99

Pickles & Condiments	Medium		$29.99

Crab Flake With Shrimp	Small		$29.99
	Medium		$39.99
	Large		$49.99

Salad Tray - Deli	Medium		$29.99

In House Made Salad	Small		$24.99
	Medium		$39.99
	Large		$49.99

Danish Tray	12's		$26.99

Fruit Fantasy	Small		$25.99
	Medium		$34.99
	Large		$45.99

Dessert Tray	Small		$25.99
	Medium		$34.99
	Large		$44.99

Sub-Total
GST (6%)
PST (8%)

Grand Total

Special Instructions:


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