Yeshiva Har Torah Lunch Order Form

IF YOU ARE UNSURE IF YOU SIGNED YOUR CHILD(REN) UP FOR A LUNCH PLAN, PLEASE DO NOT FILL OUT A NEW FORM. RATHER, EMAIL SFROST@FIVESTARCATERERS.COM TO INQUIRE IF WE HAVE YOUR CHILD(REN) SIGNED UP OR NOT

Parent's First Name

Parent's Last Name

Parent's Email

Parent's Cell

Details of child you are ordering for:

How many children will you be ordering for?

Child #~

Grade

First name

Last name

Please select the plan

Pizza 1 Option

Pizza 2 Option

Friday Bagel Option

Total: $0

* Please note, white pizza refers to pizza without sauce

Payment method

Registration is only complete upon full payment of one of the following payment options.

Credit Card

Check

Zelle

* There will be a 3% processing fee added to the total

Credit Card Number

Expiration

CVV

Card Owner's name

Billing Address ZIP