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Fax Order Form Wayne, PA

(PLEASE FILL OUT COMPLETELY EVEN IF YOUVE FILLED OUT THE OTHER SIDE)

11 am 10 pm

COMPANY NAME

1
2

Complete the form below.

(PLEASE PRINT)

323 East Lancaster Ave

DATE

START HERE

CONTACT NAME

PHONE

Fax your order to (610)-687-1967.

PICK-UP TIME?

PAGE

OF

Call (484)-367-0057 to confirm.

BURRITOS, TACOS & SALADS

BURRITOS & BOWLS

Cilantro-lime rice, vegetarian black beans or


pinto beans (cooked with bacon), meat, salsa,
and cheese or sour cream. Served in a flour
tortilla or in a bowl.

NAME

ORDER
BEANS
RICE
FAJITA
burrito burrito BOWL
VEG
crispy tacos Soft FLOUR tacos
WHITE BROWN BLACK PINTO
SOFT CORN tacos salad

WITH
CIRCLE ONE
chk

car

steak

SALSA
bar

veg

MILD
tom

med
med
corn green

DAIRY
hot

+$1.95
N/C ON
VEG ITEMS

sour cr cheese guacamole lettuce

TACOS

W BR B

C CA S

M MC MG H SC

SALADS

W BR B

C CA S

M MC MG H SC

W BR B

C CA S

M MC MG H SC

W BR B

C CA S

M MC MG H SC

W BR B

C CA S

M MC MG H SC

W BR B

C CA S

M MC MG H SC

W BR B

C CA S

M MC MG H SC

W BR B

C CA S

M MC MG H SC

W BR B

C CA S

M MC MG H SC

10

W BR B

C CA S

M MC MG H SC

11

W BR B

C CA S

M MC MG H SC

12

W BR B

C CA S

M MC MG H SC

W BR B

C CA S

M MC MG H SC

Three crispy corn, soft corn or soft flour tortillas


with meat, salsa, sour cream or cheese, and lettuce.
Chopped romaine lettuce with choice of beans,
meat, salsa and cheese. Served with freshly
made chipotle-honey vinaigrette.

DRINK
PLEASE WRITE IN FLAVOR
AND SPECIFY SIZE

CHICKEN . . . . . . . . . . . . . . . . . . . . . . . . . . . $6.45

Marinated in our chipotle


adobo, then grilled.

STEAK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6.85

Marinated in our chipotle


adobo, then grilled.

CARNITAS . . . . . . . . . . . . . . . . . . . . . . . . . $6.85

Seared pork, braised for


hours, then shredded.

BARBACOA . . . . . . . . . . . . . . . . . . . . . . . . $6.85

Beef braised for


hours, then shredded.

VEGETARIAN . . . . . . . . . . . . . . . . . . . . . $6.45

A vegetarian option with our freshly made


guacamole and vegetarian black beans.
SALSAS

Fresh Tomato . . . . . . . . . . . . . . . . . . . . . . . Mild


Roasted Chili-Corn . . . . . . . . . . . . . . . Medium
Tomatillo-Green Chili . . . . . . . . . Medium Hot
Tomatillo-Red Chili . . . . . . . . . . . . . . . . . . . Hot

EXTRAS
Chips & Guacamole . . . . . . . . . . . . . . . . . . . . . . $3.15
Chips & Salsa . . . . . . . . . . . . . . . . . . . . . . . . . . . . $2.00
Guacamole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1.95
Chips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1.25

DRINKS
Bottled Drinks . . . . . . . . . . . . . . . . . . $2.15 / $2.50
Soda . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1.60 / $1.90

Example

Burrito

Lg Coke

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