Big Wheels 2023 Big Wheels 2023 Order Form. All Orders must be submitted by 5 p.m. on TUESDAY, April 18.Business Name* Deliver To:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Any Special Instructions for Delivery:Your meals are usually delivered between 10:00 and 11:00 am unless specifiedTo help us organize our deliveries, where are you located? Downtown/University North East South West Other Contact Name* Contact Email* Contact Phone*OrderPanera Deli Turkey Lunch Quantity Price: $13.00 Quantity (Sliced roasted turkey breast, emerald greens, tomatoes, red onion on freshly baked whole grain, chips, and cookie) Panera Grilled Chicken Lunch Quantity Price: $13.00 Quantity (Sliced grilled chicken breast served cold, emerald greens, tomatoes, red onion, on freshly baked white whole grain. Chips and cookie.)Panera Mediterranean Veggie Lunch Quantity Price: $13.00 Quantity (Hummus, peppadew peppers, feta, cucumber, emerald greens, tomatoes, red onion, on freshly baked ciabatta. Chips and cookie)Panera Tuna Salad Lunch Quantity Price: $13.00 Quantity (Tuna salad, emerald greens, tomatoes, red onion, on freshly baked ciabatta. Chips and cookie.)Additional contribution to Meals on Wheels (fully tax deductible) Please provide the name and address of the donor(s) and extra amount given over the cost of the lunch.. HiddenTotal Order QuantityTotal $0.00 Date to be delivered:*Monday, April 24Tuesday, April 25Wednesday, April 26Thursday, April 27Friday, April 28Orders due by 5 P.M. on Tuesday, April 19. Note: Minimum delivery is 3 lunches. Your meals are usually delivered between 10:00 and 11:00am unless specified. If ordering lunches for multiple days, please submit a form for each day. Thank you so much for helping us feed Columbia's Seniors. Meals on Wheels of Columbia is a 100% locally funded agency. Each box lunch will receive a $6.50 tax deductible card in the lunch with a list of our sponsors.How will you be paying?* Check -- give to driver on day of event. If possible, please provide one overall check. Credit Card -- Preferred Payment Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Your order has less than the minimum requirement of 3 meals. Please update your meal total to enable the checkout.NameThis field is for validation purposes and should be left unchanged. Δ
