Contact Information
Takeout Menu
Payment Information
Contact Information
First Name
*
Last Name
*
Address
*
City
*
State
*
Zip
*
Email
*
Cell
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Vehicle Make/Model/Color
Takeout Menu
Order Details
Menu Choice
Qty
Amount
Morocan Burger (Pretzel bun w/ coleslaw &
15.00
Grilled Chicken Sandwich (Pretzel bun w/ coleslaw
15.00
Pulled Brisket Sandwich (Pretzel bun w/ coleslaw &
16.50
Lamb Riblets (w/ fries, coleslaw & yellow rice)
19.00
Hot Dog
4.00
French Fries
5.00
Smores Kit
5.00
Smores Kit w/ Banana
6.00
Water Bottle
1.00
Coke
1.50
Diet Coke
1.50
Sprite
1.50
Total
Order Total
*
Please consider a donation to help support the Jewish Discovery Center
Donation Amount
Total Amount
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Payment Information
Card Number
*
Card Expiration
Month
1 - January
2 - February
3 - March
4 - April
5 - May
6 - June
7 - July
8 - August
9 - September
10 - October
11 - November
12 - December
*
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
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Security Code
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Same as above
Name on Card
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Billing Address
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Zip Code
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