We welcome your fax and phone in orders! Please print the form below to make your selections.
Brookfield Fax: 262-798-9720West Allis Fax: 414-327-5682

NAME:
______________________________ PHONE:_____________________________

PICK-UP TIME:
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QTY GRILL QTY SPECIALTY SANDWICHES QTY FOUNTAIN
  1/4 lb. Oscar Burger   Grilled Cheese   Turtle
  1/2 lb. Oscar Burger   Hot Dog   Banana Split
  1/4 lb. Cheeseburger   Chili Dog   Peanut Butter Cup
  1/2 lb. Cheeseburger   Chili Cheese Dog   Sundae of the Month
  1/4 lb. Bacon Cheeseburger   Sloppy Joe   Rootbeer/Coke Float
  1/2 lb. Bacon Cheeseburger       Choc/Straw/Rasp Custard Soda
  1/4 lb. Mushroom Swiss   SIDE ORDERS    
  1/2 lb Mushroom Swiss   French Fries   MALTS/SHAKES
  1/4 lb. California Burger   Cheddar Cheese Fries   Regular
  1/2 lb. California Burger   Chili Cheese Fries   Concrete
  1/4 lb. Big O   Onion Rings   Super Size
  1/2 lb. Big O   Homemade Chili (seasonal)   Super Size Concrete
  Grilled Chicken Breast   Bowl   Flavor:______________________
  C.B.L.T.   Quart    
  Cajun Chicken   Bacon   SUNDAES
  Buffalo Chicken   Tomato   Small
  Crispy Chicken   Cheese   Large
  Chicken Tenderloins 3 pc.       Flavor:______________________
  Chicken Tenderloins 10 pc.   SALADS    
  Sauce:   Cajun Chicken   FROZEN CUSTARD
  Fish Sandwich   Grilled Chicken   Cone/Dish/Homemade Waffle Cone
  Fish & Chips 3 pc   Garden   Single/Double/Triple
  Fish & Chips 12 pc   Side Salad   Flavor:______________________

**Beverages - sm, med, large. See menu for choices and indicate below under Special Instructions.

Special Instructions:
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