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Food Order Form Example Food Order Shopping Cart Example

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Food Order Shopping Cart
Appetizers & Side Orders
ItemSelectionQuantityAction
Soup of the Day: Add to Cart
Side Salad:
  Small Salad
Add to Cart
*Dressing
Italian Ranch Blue Cheese Honey Mustard Vinaigrette 
Side Salad:
  Large Salad
Add to Cart
*Dressing
Italian Ranch Blue Cheese Honey Mustard Vinaigrette 
French Fries:
  Small Fries
Add to Cart
French Fries:
  Large Fries
Add to Cart
Submarine Sandwiches
ItemSelectionQuantityAction
Submarine Sandwich
  Steak & Cheese Sub
Add to Cart
Submarine Sandwich
  Ham & Cheese Sub
Add to Cart

ItemDrinks & DessertsQuantityAction
Drinks: Add to Cart
Coke Sprite Dr. Pepper Root Beer Diet Coke 
Desserts: Add to Cart
Customer E-Mail
Important: Enter a valid e-mail address. Receipts will be sent to this address.
*E-Mail:
Billing Information
*First Name:Same name as on your card
Middle Initial:
*Last Name:
*Address Line 1:Where your statement is mailed
Address Line 2:Apt. or Suite No.
*City:
*State:
*Zip Code:
Phone:
Delivery Information
*Same as billing info
Yes No 
*First Name:
Middle Initial:
*Last Name:
*Address Line 1:
*Address Line 2:
*City:
*State:
*Zip Code:
Payment Information
*Payment Method:
Credit Card Cash on Delivery (C.O.D.) 
*Card Number:No dashes or spaces please
*Expiration Month:From your card
*Expiration Year:From your card
*Card Brand:
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