Boxed Lunch & Gourmet Picnic Basket Order Form

Day & Date Needed: ______Delivery Time: ______

Delivery Location: Manor House: ______Trail Ride Barn: ______

Name: ______

Address: ______

Telephone #: ______Fax #: ______

Credit Card #: ______Exp. Date: ______Type: ______

Boxed Lunch - $14.95 per person + tax  Smoked Turkey Breast: Lettuce, Tomato, Mayonnaise, Monterey Jack on a Kaiser Roll  Roast Beef Stacker: Green Leaf Lettuce, Sharp Cheddar, Horseradish Sauce on a Kaiser Roll  Smoked Virginia Ham: Green Leaf Lettuce, Tomato, Swiss, Grainy Bourbon Mustard on a Kaiser Roll  Albacore Tuna Salad: Green Leaf Lettuce, Tomato on a Kaiser Roll

All Boxed Lunches come with the following: Fresh Seasonal Fruit, Kosher Dill Pickle, Snack Chips, Bottled Water, Granola Bar and a Homemade Cookie

Blue Ridge Gourmet Picnic Basket for Two - $89.00 + tax (Check two sandwich selections and choice of beverage below)  Petite Filet Of Beef ~ Thinly Sliced on Grilled French Bread, Green Leaf Lettuce, Red Onion, Horseradish Sauce.  Grilled Chicken Breast ~ Beefsteak Tomato, Green Leaf Lettuce, Lemon Mayonnaise on a Fresh French Baguette  Tuscany Sampler ~ Prosciutto Ham, Parmesan Cheese, Sopressata, Sun-Cured Black Olives, Roasted Garlic Pesto, French Bread, Grapes  Chesapeake Lump Crabcake ~ Green Leaf Lettuce, Beefsteak Tomato, Tartar Sauce, Mayonnaise on a Kaiser Roll  Grilled Vegetable Baguette ~ Marinated Grilled Vegetables, Dill Havarti Cheese, Lettuce and Herbed Mayonnaise on a Demi Baguette

Please select one of the following beverages:  White Wine  Red Wine  Sparkling Cider

All Blue Ridge Gourmet Picnic Baskets come with the following: Fresh Seasonal Fruit, Potato Salad, Bottled Water, Smoked Trout, Assorted Imported and Domestic Cheeses for Two and Chef’s Choice Dessert

Sub Total: $ ______5.3% Tax: $ ______Amount Due: $ ______There is an order minimum of two lunches per order for the Gourmet Picnic Baskets. All baskets include disposables. Please order 3 days in advance to insure availability of fresh ingredients. A 5% sales tax will be added. Visa, MasterCard and American Express accepted. Please fax your order to us at 540.364.3564 24 hours notice required if canceling order to avoid full charges.

X______Date: ______Customer signature agreeing to charges and above terms.