Name______300 Ren Center , Ste 1304 Page of (Renaissance Center) Company______Address______(313) 566-0028 (313) 567-6527 City______Phone______Fax your order, then call to confirm your order. Fax your order ahead for pick-up. No need to wait in line — go right to the register. Desired date______Desired time______am / pm PICK-UP or DELIVERY Order online at * Payment: Cash  Credit  (please have credit card info ready when calling to confirm) *Delivery varies by location, call your local shop for more info. Potbelly.com ORIGINALS SKINNYS Drinks Shakes /Malts /Smoothies Turkey Breast Canned soda LOW-FAT A Wreck® How many of Flavor Shake Malt Circle your choice Less meat & cheese Coke Diet Smoothie 1 Italian on“Thin-Cut” bread 2 each sandwich?

Box O’ Sandwiches Chocolate Roast Beef with 25% less fat Regular or Wheat BOTTLED DRINKS of Box below Meatball than Originals 20oz Coke Diet Chicken Salad Strawberry T-K-Y Turkey BREAST ______R _____ W Smoked Ham 20oz Coke Zero Mushroom Melt ® Tuna Salad A wreck ______R _____ W Vanilla Hammie 20oz Sprite Vegetarian italian ______R _____ W 500ml Crystal Geyser Water Pizza Sandwich Banana Grilled Chicken roast beef ______R _____ W 750ml Crystal Geyser Water MeatbaLl ______R _____ W Boylan Black Cherry Oreo® Full belly chicken salad ______R _____ W If you ordered IBC Cream Soda Sandwich, Deli Salad (coleslaw, potato $8.60 $8.05 a Full Belly, Coffee per person per person smoked ham ______R _____ W IBC Root Beer salad and/or macaroni salad), Chips & Basic Belly ______R _____ W Diet an Oatmeal Chocolate Chip Cookie tuna salad Plus or Mixed Berry VEGETARIAN ______R _____ W Basic Belly, MASH we’ll choose an basic BELLY plus PIZZA SANDWICH ______R _____ W Nantucket Lemonade Extra Fruit .30¢ $6.90 $6.35 assortment Sandwich, Chips & an Oatmeal per person per person Chocolate Chip Cookie Grilled chicken ______R _____ W of chips and/ Nantucket Orange Mango or deli salads Orange Crush Sides Soups /Chili T-K-Y ______R _____ W with your order. Please contact shop basic BELLY $5.65 $5.10 If you have a Orangina Coleslaw Sandwich & Chips per person per person MUSHROOM MELT ______R _____ W for soups of the day preference, Sweet Leaf Tea Potato Salad HAMMIE ______R _____ W please specify. Arizona Tea JUST SANDWICHES $4.55 $4.00 TOTAL # ______Macaroni Salad Soup Flavor #1 per person per person Vitamin Water

Bowl O’ Salad Whole Pickle ______Choose 2 for Desserts cup___ bowl___ 1 How many of each salad? 2 Select dressings each salad BOWL O’ SALAD: Oatmeal Chocolate Chip Serves 6 as an entree Chips Cookie or 12 as a side salad Soup Flavor #2 uptown ____ BALSAMIC vinaigrette ____ Plain Sugar Cookie ______farmhouse ____ POTBELLY vinaigrette ____ BBQ Uptown Chocolate Brownie Cookie cup___ bowl___ $37.00 Cherry Chocolate Granola Farmhouse UPTOWN (w/o chicken) ____ BUTTERmilk ranch ____ SunChips Cookie Chili Dream Bar Baked Lays cup_____ bowl_____ Uptown (w/o chicken) fARmhouse (w/o chicken) ____ CAESAR ____ $34.00 A Dozen Mini Oatmeal Other ______Farmhouse (w/o chicken) TOTAL # ____ non-fat vinaigrette ____ Add Cheese: 50¢______Chocolate Chip Cookies Add Onions_____ Soup /Chili for a Group for /Chili Soup

Sou SOUP for a GROUP: $27.00 CHILI for a GROUP: $33.00 Oyster crackers included on the side Cheese, onions and oyster crackers Special Instructions? Please contact shop for soups of the day included on the side p How many? ? /Chili How many SOUP FLAVOR #1 ______CHILI ______SOUP FLAVOR #2 ______Served in a ready-to-ladle container for 9-10 people 1 Please allow us 1 to 1 /2 hours notice to cook up your soup or chili! Our soup and chili are seasonal items and change daily, so call your local Potbelly to find out what’s cooking.

Potbelly serves HOT sandwiches. If you’re ordering for a group, we STRONGLY recommend our Box O’ Sandwiches. They stay crisp longer and taste better. We’ll give you all the condiments you need on the side. And it’s way easier to order for a large group. PC_Gen_B_A-LI_041012