Fax Order Form
Fax to: (585) 427-8432

3450 Winton Place
Rochester, NY 14623
(585) 427-8200

Name:

Needed By

Company:

Date:

Address:

Time:

City:

State:

Zip Code:

For:

Take Out

Catering

Phone:

ext:

E-mail:

 

Quantity

Menu Item Description

Price

 

Special Instructions:

Subtotal:

8.25% NYS Sales Tax:

Total:

We accept all major credit cards and of course cash!