Mr. Bill’s Restaurant & Bar

1500 Cleveland Dr.
Cheektowaga, New York 14225
Phone: (716) 634-0783

Fax: (716) 634-7978

www.mrbillswny.com

FAX ORDER SHEET

(Print and Fax to us)

Please confirm seating availability before ordering eat-in meals

Business Name: ________________________________________

Contact Person: ________________________________________

Phone Number: ________________________________________

Dine In q   Takeout q   Plastic utensils needed q   (check all applicable R )

Time of arrival ____________   Time order to be ready ____________

Name __________________   Beverage _____________________

Meal _______________________________________________

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Name __________________   Beverage _____________________

Meal _______________________________________________

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Name __________________   Beverage _____________________

Meal _______________________________________________

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Name __________________   Beverage _____________________

Meal _______________________________________________

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