Pre-order Form — Gusie's Cafe

Your Name prefix, Mr or Mrs?

Full Name *

E-mail *

Telephone number *

Preferred Method of Contact *

Phone Call

Text

Select menu items *

Jollof Rice (2 Large pans of Jollof Rice + 1 Large pan stew - $350)

Jollof Rice (1 Large pan of Jollof Rice + 1 Small pan stew - $175)

Banana Bread ($20/dozen)

Ginger Beer ($25/gallon)

Pie ($20/dozen)

Jollof Rice (2 Large pans of Jollof Rice + 1 Large pan stew ) - quantity needed

Jollof Rice (1 Large pan of Jollof Rice + 1 Small pan stew) - quantity needed

Banana Bread - quantity needed in dozens

Ginger Beer - quantity needed in gallons

Pie - quantity needed in dozens

Other - please describe

Date order is needed *

Verification Code *

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