66 East Broad Street, Columbus, OH 43215
Phone: 614.224.3596 (BAGEL-96)
Fax: 614.224.4398

Open Monday through Friday 6:45 a.m. to 2:30 p.m.

Completion of all fields is required to fill your order. Only one order form per order please. You can order a salad between 8:00 a.m. and 2:00 p.m. M-F. Your salad will be ready approximately 15 minutes from the time we receive your fax. The first pick up time for an order is 11:15 a.m. and the last pick up time is 2:15 p.m.

First Name: Last Name Initial: Telephone: Pickup Time:
1. Select Your Salad Size
Regular $5.99 Large $7.99
2. Select the Contents of Your Salad
Lettuce (choose up to 3) Meat (choose up to 3) Cheese (choose up to 3)
Romaine Turkey Feta
Iceberg (leaf) Ham Parmesan
Spinach Pepperoni Cheddar/ Monterey Jack
3. Select your Extras (additional charges apply)
Extra Dressing (add $0.50) Extra Cheese (add $0.25) Extra Meat (add $1.30)
Marinated Chicken Breast (add $1.40) Southwest Chicken Breast (add $1.40) Sun Dried Tomato Basil Chicken Breast (add $1.40)
4. Select your Vegetables (as many as you want!)
Tomatoes Grapes Tri-Colored Peppers
Cucumber Mushrooms Garbanzo Beans
Radishes Onions Black Olives
Banana Peppers Carrots Alfalfa Sprouts
Bean & Corn Celery Bean Sprouts
5. Select your Fixings (as many as you want!)
Raisins Bacon Bits Homemade Croutons
Chinese Noodles Sunflower Seeds
6. Select your Dressing (select 1)
Blue Cheese Caesar Honey Mustard-fat free
Ranch-fat free Ranch Sesame Oriental
Light Italian Italian Honey French
Balsamic Basil Vinaigrette Russian Greek
7. Amount of Dressing (select 1)
Regular Amount Light Amount of Dressing Dressing on the Side
8. Fax your order!

Print this form by clicking the 'Print' button below, or by clicking your browser's print button. Then fax your order form to 614.224.4398. You can only order one salad per form.

Please allow 15 minutes for us to prepare your order. This form is for pickup only. Thank you for your order!

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