Requested Information
Name:
Phone Number:
Email Address:
Which Menu would you like?	Catfish & Chicken Seafood Buffet BBQ Chicken-on-a-Stick
Which FOUR Side Items would you like?	French Fries Hushpuppies Cole Slaw Baked Beans Fried Okra Potato Salad Turnip Greens Corn Nuggets Green Beans
Which Dessert would you like? (Choice of one)	Peach Cobbler Sock it to me Cake Banana Pudding (50cents extra)
Fried Pickles added for $0.25 extra?	Yes No
Number of Guests
Company Name
Date of Event
Start Time of Food being served
Estimated Number of Children 10 & Under
Location of Event
Venue Name
Street Address
City, State, Zip
Set Up Instructions (where to park catering trailer etc)

Additional Information:

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