Dinner TO-GO Order Form Your Name (required) Your phone (required) Your Email (required) I would like to order (how many) Dinners x $55 = $ I would like to add a community donation $ Grand Total $ Request your pick-up time: 4:00 - 4:30 pm4:30 - 5:00 pm5:00 - 5:30 pm5:30 - 6:00 pm6:00 - 6:30 pm6:30 - 7:00 pm Pick up location: Liberty North 100 Caplan Avenue, Barrie (705)-728-3877 You will be called by phone for your credit card payment information. Your order is not complete until payment has been made. For alternate order/payment arrangements call: Mike Fulton @ 705-790-7816 HST # 12349 0013 RT 001