99 Thai Fusion
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Lunch Box
Lunch Box Order Form
to order lunch boxes, please fill out the order form below.
Your Information:
Name
*
Email Address
*
Phone
*
Order Details:
Main Dish:
please choose your menu from below:
Fried Rice Veggie ($10.99)
Fried Rice Chicken ($10.99)
Pad Thai Veggie ($10.99)
Pad Thai Chicken ($10.99)
Thai Basil Stir-Fried Veggie ($10.99)
Thai Basil Stir-Fried Chicken ($10.99)
Black Pepper Garlic Veggie ($10.99)
Black Pepper Garlic Chicken ($10.99)
Cashew Nuts Veggie ($10.99)
Cashew Nuts Chicken ($10.99)
Yellow Curry Veggie ($10.99)
Yellow Curry Chicken ($10.99)
Red Curry Veggie ($10.99)
Red Curry Chicken ($10.99)
Massaman Curry Veggie ($10.99)
Massaman Curry Chicken ($10.99)
Apps or Add-ons:
please choose your app or add-ons from below:
Egg Roll 1 PCS ($1)
Crab Cheese Wonton 2 PCS ($1.5)
Chicken Satay 2 PCS ($5)
Add Pork ($2)
Add Beef ($2)
Add Shrimp ($4)
Add Seafood ($6)
Extra Veggie ($2)
Extra Chicken ($2)
Extra Rice ($2)
Drinks:
please choose your drinks:
Thai Iced Tea 16 oz. ($5)
Thai Iced Coffee 16 oz. ($5)
Soda 16 oz. ($2)
your soda choice:
available: pepsi, Diet Pepsi, Mountain Dew, Dr Pepper, 7 Up, or Root Beer.
Boba Tea:
please choose your flavors:
Boba Tea 16 oz. ($5)
your flavor choice:
available flavors: Taro, Coconut, Mango, Thai Tea, Thai Coffee, Honeydew, Strawberry
Pick-up / Delivery Details:
Pick-up Date
*
Pick-up Time
*
give us 15 mins to prepare your order.
Hours
Minutes
PM
AM
PM
Delivery Details:
Delivery available within 5 miles. A $2 per mile delivery fee applies with a $120 minimum order.
Street Address
Apartment, suite, etc
City
State/Province
ZIP / Postal Code
Delivery Date:
Delivery Time:
Hours
Minutes
AM/PM
AM
PM
Special Requests
Total Item:
Total Cost:
Tax (7.25%):
Grand Total:
Consent
*
Confirm that all information provided is accurate.
Order Now
Your Information:
Name
*
Email Address
*
Phone
*
Order Details:
Main Dish:
please choose your menu from below:
Fried Rice Veggie ($10.99)
Fried Rice Chicken ($10.99)
Pad Thai Veggie ($10.99)
Pad Thai Chicken ($10.99)
Thai Basil Stir-Fried Veggie ($10.99)
Thai Basil Stir-Fried Chicken ($10.99)
Black Pepper Garlic Veggie ($10.99)
Black Pepper Garlic Chicken ($10.99)
Cashew Nuts Veggie ($10.99)
Cashew Nuts Chicken ($10.99)
Yellow Curry Veggie ($10.99)
Yellow Curry Chicken ($10.99)
Red Curry Veggie ($10.99)
Red Curry Chicken ($10.99)
Massaman Curry Veggie ($10.99)
Massaman Curry Chicken ($10.99)
Apps or Add-ons:
please choose your app or add-ons from below:
Egg Roll 1 PCS ($1)
Crab Cheese Wonton 2 PCS ($1.5)
Chicken Satay 2 PCS ($5)
Add Pork ($2)
Add Beef ($2)
Add Shrimp ($4)
Add Seafood ($6)
Extra Veggie ($2)
Extra Chicken ($2)
Extra Rice ($2)
Drinks:
please choose your drinks:
Thai Iced Tea 16 oz. ($5)
Thai Iced Coffee 16 oz. ($5)
Soda 16 oz. ($2)
your soda choice:
available: pepsi, Diet Pepsi, Mountain Dew, Dr Pepper, 7 Up, or Root Beer.
Boba Tea:
please choose your flavors:
Boba Tea 16 oz. ($5)
your flavor choice:
available flavors: Taro, Coconut, Mango, Thai Tea, Thai Coffee, Honeydew, Strawberry
Pick-up / Delivery Details:
Pick-up Date
*
Pick-up Time
*
give us 15 mins to prepare your order.
Hours
Minutes
PM
AM
PM
Delivery Details:
Delivery available within 5 miles. A $2 per mile delivery fee applies with a $120 minimum order.
Street Address
Apartment, suite, etc
City
State/Province
ZIP / Postal Code
Delivery Date:
Delivery Time:
Hours
Minutes
AM/PM
AM
PM
Special Requests
Total Item:
Total Cost:
Tax (7.25%):
Grand Total:
Consent
*
Confirm that all information provided is accurate.
Order Now
