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Ranchero's Fresh Grill

Faxable Order Form

Please call to verify fax.

Douglas - 912-384-1184 -- Fax: 912-384-1174 Waycross - 912-285-2080 -- Fax: 912-285-2084 Tifton - 229-396-5555 -- Fax: 229-396-5556

Please circle all selections/toppings for each order.

Name:___________________________________________________________________________

Kids Meal? Yes or No

Selection: Mini Burrito · Burrito · Quesadilla · Nachos · Taco · Salad What kind of tortilla? ____________________ Meat: Ground Beef · Chicken · Steak · Veggie Grill the Veggies? Yes or No Toppings: Black Beans · Pinto Beans · Rice

Pico De Gallo · Cheese · Romaine Lettuce · Iceberg Lettuce · Spinach · Green Onions · Red Onions · Yellow Onions Banana Peppers · Black Olives · Tomatoes · Fresh Jalapenos · Pickled Jalapenos · Cucumbers · Cilantro · Mushrooms Bell Pepper · Fresh Squeezed Lime · Southwestern Vinaigrette · Chipotle Ranch · Sweet &Sour Sauce · Sour Cream · Guacamole White Cheese Dip: Small · Medium · Large Drink: __________Regular · Large · Kids Extras: _____________________

Name:___________________________________________________________________________

Kids Meal? Yes or No

Selection: Mini Burrito · Burrito · Quesadilla · Nachos · Taco · Salad What kind of tortilla? ____________________ Meat: Ground Beef · Chicken · Steak · Veggie Grill the Veggies? Yes or No Toppings: Black Beans · Pinto Beans · Rice

Pico De Gallo · Cheese · Romaine Lettuce · Iceberg Lettuce · Spinach · Green Onions · Red Onions · Yellow Onions Banana Peppers · Black Olives · Tomatoes · Fresh Jalapenos · Pickled Jalapenos · Cucumbers · Cilantro · Mushrooms Bell Pepper · Fresh Squeezed Lime · Southwestern Vinaigrette · Chipotle Ranch · Sweet &Sour Sauce · Sour Cream · Guacamole White Cheese Dip: Small · Medium · Large Drink: __________Regular · Large · Kids Extras: _____________________

Name:___________________________________________________________________________

Kids Meal? Yes or No

Selection: Mini Burrito · Burrito · Quesadilla · Nachos · Taco · Salad What kind of tortilla? ____________________ Meat: Ground Beef · Chicken · Steak · Veggie Grill the Veggies? Yes or No Toppings: Black Beans · Pinto Beans · Rice

Pico De Gallo · Cheese · Romaine Lettuce · Iceberg Lettuce · Spinach · Green Onions · Red Onions · Yellow Onions Banana Peppers · Black Olives · Tomatoes · Fresh Jalapenos · Pickled Jalapenos · Cucumbers · Cilantro · Mushrooms Bell Pepper · Fresh Squeezed Lime · Southwestern Vinaigrette · Chipotle Ranch · Sweet &Sour Sauce · Sour Cream · Guacamole White Cheese Dip: Small · Medium · Large Drink: __________Regular · Large · Kids Extras: _____________________

Name:___________________________________________________________________________

Kids Meal? Yes or No

Selection: Mini Burrito · Burrito · Quesadilla · Nachos · Taco · Salad What kind of tortilla? ____________________ Meat: Ground Beef · Chicken · Steak · Veggie Grill the Veggies? Yes or No Toppings: Black Beans · Pinto Beans · Rice

Pico De Gallo · Cheese · Romaine Lettuce · Iceberg Lettuce · Spinach · Green Onions · Red Onions · Yellow Onions Banana Peppers · Black Olives · Tomatoes · Fresh Jalapenos · Pickled Jalapenos · Cucumbers · Cilantro · Mushrooms Bell Pepper · Fresh Squeezed Lime · Southwestern Vinaigrette · Chipotle Ranch · Sweet &Sour Sauce · Sour Cream · Guacamole White Cheese Dip: Small · Medium · Large Drink: __________Regular · Large · Kids Extras: _____________________

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