Meals on Wheels Rockland

Thanksgiving Pie Order Form

Please fill in your information below and press the Submit button. You will be asked to make your donation to Meals on Wheels via PayPal.

* All fields marked with an asterisk are required

* First Name:         * Last Name:    

Company:    

* Address:         * City:         * State:         * Zip:    

* Home Phone (e.g. 845-123-4567):         Cell Phone (e.g. 845-123-4567):    

E-mail Address:    


Please enter the quantity you would like to pickup in the "Quantity" column. If you would like to donate to home bound seniors, please enter that quantity in the "Donate" column.



Variety: Quantity: Donated: Price Each: Amount:
 
    Traditional Apple:



      $14 $
    Apple No-Added Sugar:



      $14 $
    Southern Pecan:



      $14 $
    Classic Pumpkin:



      $14 $
    Chocolate Cream (R):



      $14 $
    Sweet Potato:



      $14 $
    David's Cheesecake (R):
    (Pre-sliced - 20 portions)




      $25 $
 
Total   $


(R) Requires refrigeration    

Note: Pies and cakes may contain wheat, soy, dairy and nut ingredients. All pies (except Chocolate Cream) and cheesecake are Kosher.



You have at least 12 orders.

    I would like the pies delivered to the following to the following Rockland County address:

Company:    

Address:         City:         State:         Zip:    

Orders available for pickup at Meals on Wheels, 121 West Nyack Road, Nanuet. Select a time when you would like to pick up your pies:

    Pickup pies from Meals on Wheels

    Monday, November 20, 2017     9:00 am - 12:00 pm     12:00 pm - 4:30 pm

    Tuesday, November 21, 2017     9:00 am - 12:00 pm     12:00 pm - 4:30 pm

    Wednesday, November 22, 2017     9:00 am - 12:00 pm