Lunch Box

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

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

Special Requests

Total Item:

Total Cost:

Tax (7.25%):

Grand Total:

Order Form

Your Information:

Order Details:

Pick-up / Delivery Details: