SALSA VERDE INDY Catering Form

Contact Name*

First & Last

Contact Email*

Contact Phone Number*

Delivery? (+$25)

Yes No

Delivery based on availability. We will confirm with you.

Is the Destination Address the same as the billing address?*

Yes No

What Date/Time Do You Need It?

:

Destination Address

Address Line 1

Address Line 2

City

State

ZIP Code

Catering Package

Fajita Bar Taco Bar

How Many Guests?

Any vegetarians in the group? ADD ON: Grilled Veggie Mix

ADD ON: Guacamole

ADD ON: Tamales for $36 a dozen

How Many Dozen?

ADD ON: Mexican Street Corn

ADD ON: Cheese Dip

ADD ON: Pickled Carrots

ADD ON: Spicy Salsa Verde

Add paper plates, plastic forks and napkins for $.40 per person?

Yes No

SubTotal

Total $

(before taxes)

Special Requests/ Notes / Message

Credit Card Number

Exp Date

CVC Number

Billing Address*

Address Line 1

Address Line 2

City

State

ZIP Code