Requested Information
Name:
Phone Number:
Email Address:
Date of Event
Number of Adult Guests
Estimated Number of Children 10 & Under
Eat time (food will be put on buffet line at this time)
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?	Sock it to me Cake
Fried Pickles added for $0.50 extra?	Yes No
Company Name (if applicable)
Event Venue Name
Physical address of event location
City, State, Zip
Where do we need to park the catering trailer?
How far will food tables be set up from catering trailer?

Additional Information:

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