Please specify name brand under special request and check substitute box if ok to substitute requested brand
Beef / Quantity / Special Request / Sub / Poultry / Quantity / Special Request / Sub
Beef Hot Dogs / Breasts
Beef Ribs / Legs
Filet Mignon / Rotisserie
Ground Beef / Whole Chicken
New York Strip / Whole Turkey
Prime Rib Roast / Wings
Ribeye Steak / Other (Please Specify)
Sirloin
Strip Steak / Pasta/Rice / Quantity / Special Request / Sub
T-Bone / Angel Hair
Whole Tenderloin / Linguini
Other (Please Specify) / Macaroni
Spaghetti
Fish / Quantity / Special Request / Sub / Rigatoni
Cod / Polenta
Lobster / Cous Cous
Mahi Mahi / Basmati Rice
Salmon / Brown Rice
Trout / Jasmine Rice
Tuna / White Rice
Other (Please Specify)
Oysters
Mussels / Snacks/Nuts / Quantity / Special Request / Sub
Clams / Chips
Clam Chowder / Doritos
Lobster Bisque / Tortilla Chips
Other (Please Specify) / Crackers (Specify)
Dip (Specify)
Pork / Quantity / Special Request / Sub / Peanuts
Bratwurst / Cashews
Ham / Almonds
Pork Chops / Pistachios
Pork Ribs / Mixed Nuts
Pork Tenderloin / Walnuts
Pork Roast / Sunflower Seeds
Other (Please Specify) / Trail Mix
Graham Crackers
Fruits / Quantity / Special Request / Sub / Candy Bars (Specify)
Apples / Popcorn
Bananas / Cookies (Specify)
Grapes / Marshmallows
Lemons / Other (Please Specify)
Limes
Oranges / Condiments / Quantity / Special Request / Sub
Pears / Salt/Pepper
Strawberries / Sugar
Blueberries / Flour
Raspberries / Ketchup
Nectarines / Mustard (Specify)
Tangerines / Mayonnaise
Peanut Butter
Canned Goods / Quantity / Special Request / Sub / Jelly/Jam
Chili / Olive Oil
Baked / Vegetable Oil
Baked Beans / Salad dressing
Black Beans / Salsa (Specify heat)
Pinto Beans / BBQ Sauce
Tomato Paste / Steak Sauce
Tomato Sauce / Soy Sauce
Chopped Tomatoes / Hot Sauce
Spaghetti Sauce / Pickles
White Sauce / Olives
Soups (Specify) / Other (Please Specify)
Sauerkraut
Tuna / Deli / Quantity / Special Request / Sub
Other (Please Specify) / Sliced Cheese (Spec)
Sliced Ham
Dairy / Quantity / Special Request / Sub / Sliced Turkey
Milk - 1% / Sliced Roast Beef
Milk - 2% / Liverwurst
Milk - Whole / Pastrami
Milk - Soy / Salami
Half & Half / Chicken Salad
Yogurt (Specify) / Tuna Salad
Yogurt Drinks / Cole Slaw
Eggnog / Potato Salad
Cheese (Specify) / Macaroni Salad
Other (Please Specify) / Fried Chicken
Hummus (Specify)
Vegetables / Quantity / Special Request / Sub / Other (Please Specify)
Asparagus
Artichokes / Bread / Quantity / Special Request / Sub
Avocados / Wheat Bread
Broccoli / White Bread
Cauliflower / Rye Bread
Carrots / Sour Dough Bread
Corn / Multi-Grain Bread
Garlic / English Muffins
Green Beans / French Bread
Leeks / Hamburger Rolls
Lettuce (Specify) / Hot Bog Buns
Onions (Specify) / Taco Shells
Peppers (Specify) / Pita Bread
Parsnips / Tortillas/Wraps
Potatoes / Other (Please Specify)
Radishes
Salad Mix / Additions/Requests / Quantity
Scallions
Spinach
Tomato
Veggie Platter
Other (Please Specify)
Breakfast Items / Quantity / Special Request / Sub
Bagels
Cinnamon Rolls
Cream Cheese
Eggs
Bacon
Sausage (Specify)
Sliced Salmon
Biscuits
Butter
Margerine
Pancake Mix
Pancake Syrup
Waffles
Jelly/Jam
Cereal (Specify)
Coffee (Specify)
Sugar
Nutri-Sweet
Splenda
Non Dairy Creamer
Oatmeal
Grits
Other (Please Specify)
Preferred Store / Publix
WinnDixie
Walmart
Target
Please Email to or fax to 727-397-0043
Name:______
Resv#______
Phone______