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Name_____________________________________________________ Phone No.___________________________

Address_______________________________________________City______________________Zip______________


Specials available only after the purchase of at least one Regular Menu Box OR Senior Box

Regular Menu Box……….……………..................................................._____x $30.00 = ___________

Senior Box...............................................................................................____x $25.00 = ___________


September Special #1…………….........................6 lb. Assorted Meat Grill Box____ x $20.00 = ___________

September Special #2………………..................5 lb. Steak & Meat Combo Box____x $20.00 =___________

September Special #3............................................10 lb. Party Wing Special Box ____x $20.00 = ___________

September Special #4.................................................10 lb. "5 for 4" Dinner Box ____x $20.00 = ____________                                                                                                                                   
                                                                                                                                        
September Special #5...................................................Fresh Fruit & Veggie Box ____x $19.00 = ____________                                                                                                                                      

                                                                                                               Total = ___________


ORDER DEADLINE: Saturday,September 13th at 6:00 pm 


CASH AND EBT FOOD STAMP ORDERS MUST BE MADE IN PERSON. "Witnessed Signature Required."  Call to schedule an appointment. 475-7379


MONEY ORDERS may be mailed to the address below,  but must be received by the Saturday before payment is due. (To ensure on time delivery, mail out early!) See below. Money Orders may also be dropped off in the lockbox anytime through the deadline. (Lockbox labeled "Angel Food" is located at the beginning of the driveway at 6081 Werkner in Chelsea.  NO PERSONAL CHECKS WILL BE ACCEPTED.

Mail orders must include:

1. Money Order made out to Fire Mountain Worship Center
2. Your name, address and phone number filled in on the Money Order
3. Completed Order Form
4. Self addressed stamped envelope for return of your receipt
5. Mail to: FMWC
                6081 Werkner Road
                Chelsea, MI  48118

DISTRIBUTION DAY:

      Saturday, September 27th from 10:00 am - 11:00 am 

      Pierce Lake Elementary School Cafeteria in Chelsea 

*** ORDERS NOT PICKED UP between 10 am & 11 am  on Distribution Day, MAY BE GIVEN TO A NEEDY FAMILY! ***

Angel Food Ministries Reserves the Right to Substitute Any Items Due to Availability, Cost and Quantity.

***You must bring an empty cardboard box OR laundry basket for each $30 box ordered
                                (17Lx11wx9H is a good size).
                                               
                           Specials and Senior Boxes come preboxed and do not require you to bring additional empty boxes.