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Chicken BBQ Order Form

Required   Indicates Required Field
Date Submitted: 04/25/2025 1315
Name: Required
Phone Number:
Contact Number 		Required
Email Address:
Optional
Pick Up Time: Required 11am-12pm
12pm-1pm
Chicken Dinner - $15ea. :
How many chicken dinners? (Includes 1/2 chicken, beans, salt potatoes and roll) If not ordering any full dinners please put zero in this box. 		Required
Chicken Half - $10ea. :
How many chicken halves? (1/2 chicken only) If not ordering any chicken halves please put a zero in this box. 		Required




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