Lunch Order Form

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Follow these simple steps to place your lunch order:

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Complete all required fields including contact information

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(612) 338-1216

Call to Confirm

(612) 338-1213

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THE BURGER PLACE

The Burger Place is the only restaurant in the skyway where you will find Certified Angus Beef ®; Angus Beef at its best.

If you are looking for a hamburger, do not settle for less - have the best burger in the Twin Cities at The Burger Place.

Place your order in advance for pick-up. For orders greater than 40 people, 24 hours advance notice is needed.

220 South Sixth Street, Suite 215, Minneapolis, MN 55402 | Lunch from 10:30am- 3:00pm | PLEASE CALL US TO CONFIRM YOUR ORDER.

3. Fax In Your Order

(612) 338-1216

4. Call To Verify Your Order

(612) 338-1213

1. Start Here (Please Print)

Order Date: ____/____/____

Business Name: _________________________

Contact Name: _________________________

Phone: (____)_____-_______

2. Mark In Your Order Below

Pickup Time: ____:____

Name on Order	Breakfast, Omelet or Egg Choice	Bread	Meat	Extras:	With Meal
1. * Omelets and eggs exclude choice of meat	☐ White ☐ Wheat ☐ Texas ☐ Eng. Muffin ☐ Tortilla ☐ No Toast	☐ Bacon ☐ Ham ☐ Sausage ☐ Turkey	MEAT: Smoked Bacon - $1.95 Sausage Patty - $2.25 Ham - $1.95 Sliced Turkey - $2.25 Hash browns - 95¢ Hash browns w/ chs - $3.25 Side of Toast - $1.80	$3.25 $3.50 $3.25 $3.50 $1.80	☐ Sunny Side ☐ S. Basted ☐ Over Easy ☐ Medium ☐ Over Hard ☐ Egg White +.95¢ Extra w/ meal: 1 Egg +.95¢ w/o: $1.75 2 Eggs +$1.75 w/o: $2.50 3 Eggs +$2.50 w/o: $3.20
2. * Omelets and eggs exclude choice of meat	☐ White ☐ Wheat ☐ Texas ☐ Eng. Muffin ☐ Tortilla ☐ No Toast	☐ Bacon ☐ Ham ☐ Sausage ☐ Turkey	MEAT: Smoked Bacon - $1.95 Sausage Patty - $2.25 Ham - $1.95 Sliced Turkey - $2.25 Hash browns - 95¢ Hash browns w/ chs - $3.25 Side of Toast - $1.80	$3.25 $3.50 $3.25 $3.50 $1.80	☐ Sunny Side ☐ S. Basted ☐ Over Easy ☐ Medium ☐ Over Hard ☐ Egg White +.95¢ Extra w/ meal: 1 Egg +.95¢ w/o: $1.75 2 Eggs +$1.75 w/o: $2.50 3 Eggs +$2.50 w/o: $3.20
3. * Omelets and eggs exclude choice of meat	☐ White ☐ Wheat ☐ Texas ☐ Eng. Muffin ☐ Tortilla ☐ No Toast	☐ Bacon ☐ Ham ☐ Sausage ☐ Turkey	MEAT: Smoked Bacon - $1.95 Sausage Patty - $2.25 Ham - $1.95 Sliced Turkey - $2.25 Hash browns - 95¢ Hash browns w/ chs - $3.25 Side of Toast - $1.80	$3.25 $3.50 $3.25 $3.50 $1.80	☐ Sunny Side ☐ S. Basted ☐ Over Easy ☐ Medium ☐ Over Hard ☐ Egg White +.95¢ Extra w/ meal: 1 Egg +.95¢ w/o: $1.75 2 Eggs +$1.75 w/o: $2.50 3 Eggs +$2.50 w/o: $3.20
4. * Omelets and eggs exclude choice of meat	☐ White ☐ Wheat ☐ Texas ☐ Eng. Muffin ☐ Tortilla ☐ No Toast	☐ Bacon ☐ Ham ☐ Sausage ☐ Turkey	MEAT: Smoked Bacon - $1.95 Sausage Patty - $2.25 Ham - $1.95 Sliced Turkey - $2.25 Hash browns - 95¢ Hash browns w/ chs - $3.25 Side of Toast - $1.80	$3.25 $3.50 $3.25 $3.50 $1.80	☐ Sunny Side ☐ S. Basted ☐ Over Easy ☐ Medium ☐ Over Hard ☐ Egg White +.95¢ Extra w/ meal: 1 Egg +.95¢ w/o: $1.75 2 Eggs +$1.75 w/o: $2.50 3 Eggs +$2.50 w/o: $3.20
5. * Omelets and eggs exclude choice of meat	☐ White ☐ Wheat ☐ Texas ☐ Eng. Muffin ☐ Tortilla ☐ No Toast	☐ Bacon ☐ Ham ☐ Sausage ☐ Turkey	MEAT: Smoked Bacon - $1.95 Sausage Patty - $2.25 Ham - $1.95 Sliced Turkey - $2.25 Hash browns - 95¢ Hash browns w/ chs - $3.25 Side of Toast - $1.80	$3.25 $3.50 $3.25 $3.50 $1.80	☐ Sunny Side ☐ S. Basted ☐ Over Easy ☐ Medium ☐ Over Hard ☐ Egg White +.95¢ Extra w/ meal: 1 Egg +.95¢ w/o: $1.75 2 Eggs +$1.75 w/o: $2.50 3 Eggs +$2.50 w/o: $3.20

DRINKS
Name 1: _______________	☐ Regular ☐ Large ☐ Malt (S)(V)(C) ☐ Coffee	Name 4: _______________	☐ Regular ☐ Large ☐ Malt (S)(V)(C) ☐ Coffee
Name 2: _______________	☐ Regular ☐ Large ☐ Malt (S)(V)(C) ☐ Coffee	Name 5: _______________	☐ Regular ☐ Large ☐ Malt (S)(V)(C) ☐ Coffee
Name 3: _______________	☐ Regular ☐ Large ☐ Malt (S)(V)(C) ☐ Coffee	Name 6: _______________	☐ Regular ☐ Large ☐ Malt (S)(V)(C) ☐ Coffee