how it works FAQ To Start Your Order, Make Your Week Selection(s) Below. Menu subject to change based on availability. Please note, that this form is unable to accept gift cards for payment.INTERNAL INSTRUCTIONSIn order for the form to know which date to display for each week, they need to be set here.To set each week's date:Click on the "Set Week X Date" field below Click the Advanced tab. Type the date you want to set as the "Default Value"SET WEEK 1 PICK UP DATESET WEEK 1 Pickup DeadlineSET WEEK 2 PICK UP DATESET WEEK 2 Pickup DeadlineSET WEEK 3 PICK UP DATESET WEEK 3 Pickup DeadlineSET WEEK 4 PICK UP DATESET WEEK 4 Pickup DeadlineSET WEEK 5 PICK UP DATESET WEEK 5 Pickup DeadlineINTERNAL INSTRUCTIONSEach week's cut off date is set the in Section Field (e.g. "Pick Up August 2nd") options. Click on the Section Field Click the Advanced tab. Change ONLY the date portion of the Conditional Logic to the desired cut-off date. Pick Up August 2nd = Week 1 Pick Up August 9th = Week 2 Pick Up August 16th = Week 3 Pick Up August 23rd = Week 4 Pick Up August 30th = Week 5Pick Up August 2ndWeek 1: Order by 8am Saturday 7/31 & pick up on Monday 8/02Here is a peek at this week's menu options and on the following pages, you can add-on Breakfast Meals, Kids Meals, Bread, and Beverages.Week 1 Select this week On the next page you will be able to make your menu selection and have the option to add-on breakfast meals, kids meals, bread, and beverages.Standard Menu BBQ Ribs with Creamy Mashed Potatoes & Three Bean Salad Spinach & Sundried Tomato Turkey Burgers with Feta Spread & Zaatar Baked Sweet Potato Wedges Thai Peanut Chicken with Stir Fry Veggies over Linguine Honey Mustard Grilled Chicken with Garlic Confit Roasted Potatoes & Green Beans & Cherry Tomatoes Summer Veggie Grain Bowl with Green Goddess Vegetarian Menu Grilled Veggie Stacks with Creamy Mashed Potatoes & Three Bean Salad Spinach & Sundried Tomato Chickpea & Zucchini Burgers with Feta Spread & Zaatar Baked Sweet Potato Wedges Thai Peanut Tofu with Stir Fry Veggies over Linguine Spinach Artichoke Stuffed Portabellas with Garlic Confit Roasted Potatoes & Green Beans & Cherry Tomatoes Summer Veggie Grain Bowl with Green Goddess Pick Up August 9thWeek 2: Order by 8am Saturday 8/07 & pick up on Monday 8/09Here is a peek at this week's menu options and on the following pages, you can add-on Breakfast Meals, Kids Meals, Bread, and Beverages.Week 2 Select this week On the next page you will be able to make your menu selection and have the option to add-on breakfast meals, kids meals, bread, and beverages.Standard Menu Teriyaki Meatballs with Sesame Broccoli and Veggie Fried Rice Beer Braised Bratwurst with Grilled Onions, Braised Red Cabbage and German Potato Salad Shrimp Scampi over Linguine with Asparagus & Green Peas Chicken Tinga Tacos with Fajita Veggies & Black Bean Corn Salad Vegetarian Mediterranean Grain Bowl with Tzatziki Vegetarian Menu Teriyaki Mushrooms with Sesame Broccoli and Veggie Fried Rice Beer Braised Veggie Sausage with Grilled Onions, Braised Red Cabbage and German Potato Salad White Bean Cakes with Lemon Cream Sauce over Linguine with Asparagus & Green Peas Spicy Eggplant Tacos with Fajita Veggies & Black Bean Corn Salad Vegetarian Mediterranean Grain Bowl with Tzatziki Pick Up August 16thWeek 3: Order by 8am Saturday 8/14 & pick up on Monday 8/16Here is a peek at this week's menu options and on the following pages, you can add-on Breakfast Meals, Kids Meals, Bread, and Beverages.Week 3 Select this week On the next page you will be able to make your menu selection and have the option to add-on breakfast meals, kids meals, bread, and beverages.Standard Menu Italian Buttermilk Marinated Chicken with Mushroom Wild Rice Pilaf and Roasted Green Beans Lemon Chicken Quarters with Roasted Garlic Potatoes & Carrots Curry Pork Meatballs over Jasmine Rice & Pepper Medley Bacon and Smoked Gouda Mac & Cheese Vegetarian Tamale Pie Vegetarian Menu Grit Cakes with Brown Gravy with Mushroom Wild Rice Pilaf and Roasted Green Beans Lemon Pepper “Chicken” with Roasted Garlic Potatoes & Carrots Curried Chickpeas & Potatoes over Jasmine Rice & Pepper Medley Charred Tomato and Smoked Gouda Mac & Cheese Vegetarian Tamale Pie Pick Up August 23rdWeek 4: Order by 8am Saturday 8/21 & pick up on Monday 8/23Here is a peek at this week's menu options and on the following pages, you can add-on Breakfast Meals, Kids Meals, Bread, and Beverages.Week 4 Select this week On the next page you will be able to make your menu selection and have the option to add-on breakfast meals, kids meals, bread, and beverages.Standard Menu Roasted Salmon in Lemon Dill Cream Sauce, Blistered Tomatoes and Pesto Orzo Salad Southwest Beef Chili and Fixins’ with House-made Cornbread and Honey Butter Meatloaf with Bourbon Maple with Glazed Carrots & Garlic Smashed Potatoes Cilantro Lime Chicken with Santa Fe Rice & Beans Vegetarian Kale & Tomato Pasta with Romesco Sauce Vegetarian Menu Creamy Stewed White Beans & Spinach with Toast Points and Pesto Orzo Salad Southwest Veggie Chili and Fixins’ with House-made Cornbread and Honey Butter Sweet Potato & Lentil Patties with Glazed Carrots & Garlic Smashed Potatoes Southwest Stuffed Peppers with Cilantro Lime Sauce with Santa Fe Rice & Beans Vegetarian Kale & Tomato Pasta with Romesco Sauce Pick Up August 30thWeek 5: Order by 8am Saturday 8/28 & pick up on Monday 8/30Here is a peek at this week's menu options and on the following pages, you can add-on Breakfast Meals, Kids Meals, Bread, and Beverages.Week 5 Select this week On the next page you will be able to make your menu selection and have the option to add-on breakfast meals, kids meals, bread, and beverages.Standard Menu Yogurt Marinated Chicken with Moroccan Couscous & Grilled Veggies French Dip Sandwiches with Au Jus and Mashed Sweet Potatoes Grilled BBQ Chicken Thighs with Balsamic Grilled Veggies and Creamy Coleslaw Miso Pulled Pork Bowls over Jasmine Rice Summer Corn Chowder with Buttermilk Biscuits Vegetarian Menu Falafel & Yogurt Dill Sauce with Moroccan Couscous & Grilled Veggies Fresh Mozzarella Caprese Sandwiches and Mashed Sweet Potatoes BBQ Carrots & Lentils with Balsamic Grilled Veggies and Creamy Coleslaw Stir Fry Buddah Bowls Summer Corn Chowder with Buttermilk Biscuits INTERNAL INSTRUCTIONSDo not modify the Order Date fields below.If removed, it will break the form logic.Order Date Date Format: MM slash DD slash YYYY Order Date INTERNAL INSTRUCTIONS - WEEK 1This section is for Week 1 Do not remove the "Pick Up August 2nd", it will break the form logic.Menu Options for Pick Up August 2ndStandard Menu BBQ Ribs with Creamy Mashed Potatoes & Three Bean Salad Spinach & Sundried Tomato Turkey Burgers with Feta Spread & Zaatar Baked Sweet Potato Wedges Thai Peanut Chicken with Stir Fry Veggies over Linguine Honey Mustard Grilled Chicken with Garlic Confit Roasted Potatoes & Green Beans & Cherry Tomatoes Summer Veggie Grain Bowl with Green Goddess Week 1 - Standard Micro Meals for 1 personEdit product price and Email product name in this field. Price: $70.00 Select Standard Meal ServingsStandard Micro Meals for 1 person $70.00Standard Micro Meals for 2 person $140.00Standard Micro Meals for 3 person $210.00Standard Micro Meals for 4 person $280.00Vegetarian Menu Grilled Veggie Stacks with Creamy Mashed Potatoes & Three Bean Salad Spinach & Sundried Tomato Chickpea & Zucchini Burgers with Feta Spread & Zaatar Baked Sweet Potato Wedges Thai Peanut Tofu with Stir Fry Veggies over Linguine Spinach Artichoke Stuffed Portabellas with Garlic Confit Roasted Potatoes & Green Beans & Cherry Tomatoes Summer Veggie Grain Bowl with Green Goddess Week 1 - Vegetarian Micro Meals for 1 personEdit product price and Email product name in this field. Price: $70.00 Select Vegetarian Meal ServingsVegetarian Micro Meals for 1 person $70.00Vegetarian Micro Meals for 2 person $140.00Vegetarian Micro Meals for 3 person $210.00Vegetarian Micro Meals for 4 person $280.00Breakfast Quiche with Ham, Cheddar, Green Onion & Broccoli Price: $15.00 Quantity: Breakfast BurritosTwo burritos with scrambled eggs, brunch potatoes, beans, cheddar and salsa (vegetarian) Price: $15.00 Quantity: Tomato, Feta, & Spinach Frittatagluten free, vegetarian Price: $15.00 Quantity: Blueberry Sconesfive of our freshly baked scratch-made scones (vegetarian) Price: $10.00 Quantity: Blueberry Muffinsthree scratch made muffins, vegetarian Price: $6.00 Quantity: French Toast Casserolewith pure maple syrup (vegetarian) Price: $15.00 Quantity: Dessert Chocolate Chip Cookies Price: $15.00 Quantity: Kids Meals Each kids meal includes 5 kids' sized portions. Parmesan Crusted Chicken Bites with Broccoli Price: $20.00 Quantity: Chicken Quesadillas with Black Beans Price: $20.00 Quantity: Cheeseburger Sliders with Tater Tots Price: $20.00 Quantity: Mac & Cheese Price: $20.00 Quantity: Homestyle Spaghetti & Meatballs Price: $20.00 Quantity: Add-OnsRosemary Parmesan Ciabatta Price: $7.50 Quantity: BEVERAGESWhole Coffee Beanssold in 1lb bags Price: $15.00 Quantity: Six-Pack of BeerA mix of Local Favorites. Price: $12.00 Quantity: Half Case of Wine (6 bottles)A mix of our Red and White favorites selected by The Root Cellar Team. Price: $80.00 Quantity: Subtotal $0.00 Week 1 Alcohol Count INTERNAL INSTRUCTIONS - WEEK 2This section is for Week 2 Do not remove the "Pick Up August 9th", it will break the form logic.Menu Options Pick Up August 9thStandard Menu Teriyaki Meatballs with Sesame Broccoli and Veggie Fried Rice Beer Braised Bratwurst with Grilled Onions, Braised Red Cabbage and German Potato Salad Shrimp Scampi over Linguine with Asparagus & Green Peas Chicken Tinga Tacos with Fajita Veggies & Black Bean Corn Salad Vegetarian Mediterranean Grain Bowl with Tzatziki Week 2 - Standard Micro Meals for 1 personEdit product price and Email product name in this field. Price: $70.00 Select Standard Meal ServingsStandard Micro Meals for 1 person $70.00Standard Micro Meals for 2 person $140.00Standard Micro Meals for 3 person $210.00Standard Micro Meals for 4 person $280.00Vegetarian Menu Teriyaki Mushrooms with Sesame Broccoli and Veggie Fried Rice Beer Braised Veggie Sausage with Grilled Onions, Braised Red Cabbage and German Potato Salad White Bean Cakes with Lemon Cream Sauce over Linguine with Asparagus & Green Peas Spicy Eggplant Tacos with Fajita Veggies & Black Bean Corn Salad Vegetarian Mediterranean Grain Bowl with Tzatziki Week 2 - Vegetarian Micro Meals for 1 personEdit product price and Email product name in this field. Price: $70.00 Select Vegetarian Meal ServingsVegetarian Micro Meals for 1 person $70.00Vegetarian Micro Meals for 2 person $140.00Vegetarian Micro Meals for 3 person $210.00Vegetarian Micro Meals for 4 person $280.00Breakfast Quiche with Ham, Cheddar, Green Onion & Broccoli Price: $15.00 Quantity: Blueberry Sconesfive of our freshly baked scratch made scones (vegetarian) Price: $10.00 Quantity: Tomato, Feta, & Spinach Frittatagluten free, vegetarian Price: $15.00 Quantity: Breakfast BurritosTwo burritos with scrambled eggs, brunch potatoes, beans, cheddar and salsa (vegetarian) Price: $15.00 Quantity: Blueberry Muffinsthree scratch made muffins, vegetarian Price: $6.00 Quantity: French Toast Casserolewith pure maple syrup (vegetarian) Price: $15.00 Quantity: Dessert Oreo Brownies Price: $15.00 Quantity: Kids Meals Each kids meal includes 5 kids' sized portions. Parmesan Crusted Chicken Bites with Broccoli Price: $20.00 Quantity: Chicken Quesadillas with Black Beans Price: $20.00 Quantity: Cheeseburger Sliders with Tater Tots Price: $20.00 Quantity: Mac & Cheese Price: $20.00 Quantity: Homestyle Spaghetti & Meatballs Price: $20.00 Quantity: Add-OnsRosemary Parmesan Ciabatta Price: $7.50 Quantity: BEVERAGESWhole Coffee Beanssold in 1lb bags Price: $15.00 Quantity: Six-Pack of BeerA mix of Local Favorites. Price: $12.00 Quantity: Half Case of Wine (6 bottles)A mix of our Red and White favorites selected by The Root Cellar Team. Price: $80.00 Quantity: Subtotal $0.00 Week 2 Alcohol Count INTERNAL INSTRUCTIONS - WEEK 3This section is for Week 3 Do not remove the "Pick Up August 16th", it will break the form logic.Menu Options Pick Up August 16thStandard Menu Italian Buttermilk Marinated Chicken with Mushroom Wild Rice Pilaf and Roasted Green Beans Lemon Chicken Quarters with Roasted Garlic Potatoes & Carrots Curry Pork Meatballs over Jasmine Rice & Pepper Medley Bacon and Smoked Gouda Mac & Cheese Vegetarian Tamale Pie Week 3 - Standard Micro Meals for 1 personEdit product price and Email product name in this field. Price: $70.00 Select Standard Meal ServingsStandard Micro Meals for 1 person $70.00Standard Micro Meals for 2 person $140.00Standard Micro Meals for 3 person $210.00Standard Micro Meals for 4 person $280.00Vegetarian Menu Grit Cakes with Brown Gravy with Mushroom Wild Rice Pilaf and Roasted Green Beans Lemon Pepper “Chicken” with Roasted Garlic Potatoes & Carrots Curried Chickpeas & Potatoes over Jasmine Rice & Pepper Medley Charred Tomato and Smoked Gouda Mac & Cheese Vegetarian Tamale Pie Week 3 - Vegetarian Micro Meals for 1 personEdit product price and Email product name in this field. Price: $70.00 Select Vegetarian Meal ServingsVegetarian Micro Meals for 1 person $70.00Vegetarian Micro Meals for 2 person $140.00Vegetarian Micro Meals for 3 person $210.00Vegetarian Micro Meals for 4 person $280.00Breakfast Quiche with Ham, Cheddar, Green Onion & Broccoli Price: $15.00 Quantity: Root Cellar Breakfast BurritosTwo burritos with scrambled eggs, brunch potatoes, beans, cheddar and salsa (vegetarian) Price: $15.00 Quantity: Tomato, Feta, & Spinach Frittatagluten free, vegetarian Price: $15.00 Quantity: Blueberry Sconesfive of our freshly baked scratch made scones (vegetarian) Price: $10.00 Quantity: Blueberry Muffinsthree scratch made muffins, vegetarian Price: $6.00 Quantity: French Toast Casserolewith pure maple syrup (vegetarian) Price: $15.00 Quantity: Dessert Tres Leches Cake Price: $15.00 Quantity: Kids Meals Each kids meal includes 5 kids' sized portions. Parmesan Crusted Chicken Bites with Broccoli Price: $20.00 Quantity: Chicken Quesadillas with Black Beans Price: $20.00 Quantity: Cheeseburger Sliders with Tater Tots Price: $20.00 Quantity: Mac & Cheese Price: $20.00 Quantity: Homestyle Spaghetti & Meatballs Price: $20.00 Quantity: Add-OnsRosemary Parmesan Ciabatta Price: $7.50 Quantity: BEVERAGESWhole Coffee Beanssold in 1lb bags Price: $15.00 Quantity: Six-Pack of BeerA mix of Local Favorites. Price: $12.00 Quantity: Half Case of Wine (6 bottles)A mix of our Red and White favorites selected by The Root Cellar Team. Price: $80.00 Quantity: Subtotal $0.00 Week 3 Alcohol Count INTERNAL INSTRUCTIONS - WEEK 4This section is for Week 4 Do not remove the "Pick Up August 23rd", it will break the form logic.Menu Options Pick Up August 23rdStandard Menu Roasted Salmon in Lemon Dill Cream Sauce, Blistered Tomatoes and Pesto Orzo Salad Southwest Beef Chili and Fixins’ with House-made Cornbread and Honey Butter Meatloaf with Bourbon Maple with Glazed Carrots & Garlic Smashed Potatoes Cilantro Lime Chicken with Santa Fe Rice & Beans Vegetarian Kale & Tomato Pasta with Romesco Sauce Week 4 - Standard Micro Meals for 1 personEdit product price and Email product name in this field. Price: $70.00 Select Standard Meal ServingsStandard Micro Meals for 1 person $70.00Standard Micro Meals for 2 person $140.00Standard Micro Meals for 3 person $210.00Standard Micro Meals for 4 person $280.00Vegetarian Menu Creamy Stewed White Beans & Spinach with Toast Points and Pesto Orzo Salad Southwest Veggie Chili and Fixins’ with House-made Cornbread and Honey Butter Sweet Potato & Lentil Patties with Glazed Carrots & Garlic Smashed Potatoes Southwest Stuffed Peppers with Cilantro Lime Sauce with Santa Fe Rice & Beans Vegetarian Kale & Tomato Pasta with Romesco Sauce Week 4 - Vegetarian Micro Meals for 1 personEdit product price and Email product name in this field. Price: $70.00 Select Vegetarian Meal ServingsVegetarian Micro Meals for 1 person $70.00Vegetarian Micro Meals for 2 person $140.00Vegetarian Micro Meals for 3 person $210.00Vegetarian Micro Meals for 4 person $280.00Breakfast Quiche with Ham, Cheddar, Green Onion & Broccoli Price: $15.00 Quantity: Blueberry Sconesfive of our freshly baked scratch made scones (vegetarian) Price: $10.00 Quantity: Tomato, Feta, & Spinach Frittatagluten free, vegetarian Price: $15.00 Quantity: Breakfast BurritosTwo burritos with scrambled eggs, brunch potatoes, beans, cheddar and salsa (vegetarian) Price: $15.00 Quantity: Blueberry Muffinsthree scratch made muffins, vegetarian Price: $6.00 Quantity: French Toast Casserolewith maple syrup (vegetarian) Price: $15.00 Quantity: Dessert Lemon Pound Cake Price: $15.00 Quantity: Kids Meals Each kids meal includes 5 kids' sized portions. Parmesan Crusted Chicken Bites with Broccoli Price: $20.00 Quantity: Chicken Quesadillas with Black Beans Price: $20.00 Quantity: Cheeseburger Sliders with Tater Tots Price: $20.00 Quantity: Mac & Cheese Price: $20.00 Quantity: Homestyle Spaghetti & Meatballs Price: $20.00 Quantity: Add-OnsRosemary Parmesan Ciabatta Price: $7.50 Quantity: BEVERAGESWhole Coffee Beanssold in 1lb bags Price: $15.00 Quantity: Six-Pack of BeerA mix of Local Favorites. Price: $12.00 Quantity: Half Case of Wine (6 bottles)A mix of our Red and White favorites selected by The Root Cellar Team. Price: $80.00 Quantity: Subtotal $0.00 Week 4 Alcohol Count INTERNAL INSTRUCTIONS - WEEK 5This section is for Week 5 Do not remove the "Pick Up August 30th", it will break the form logic.Menu Options Pick Up August 30thStandard Menu Yogurt Marinated Chicken with Moroccan Couscous & Grilled Veggies French Dip Sandwiches with Au Jus and Mashed Sweet Potatoes Grilled BBQ Chicken Thighs with Balsamic Grilled Veggies and Creamy Coleslaw Miso Pulled Pork Bowls over Jasmine Rice Summer Corn Chowder with Buttermilk Biscuits Week 5 - Standard Micro Meals for 1 personEdit product price and Email product name in this field. Price: $70.00 Select Standard Meal ServingsStandard Micro Meals for 1 person $70.00Standard Micro Meals for 2 person $140.00Standard Micro Meals for 3 person $210.00Standard Micro Meals for 4 person $280.00Vegetarian Menu Falafel & Yogurt Dill Sauce with Moroccan Couscous & Grilled Veggies Fresh Mozzarella Caprese Sandwiches and Mashed Sweet Potatoes BBQ Carrots & Lentils with Balsamic Grilled Veggies and Creamy Coleslaw Stir Fry Buddah Bowls Summer Corn Chowder with Buttermilk Biscuits Week 5 - Vegetarian Micro Meals for 1 personEdit product price and Email product name in this field. Price: $70.00 Select Vegetarian Meal ServingsVegetarian Micro Meals for 1 person $70.00Vegetarian Micro Meals for 2 person $140.00Vegetarian Micro Meals for 3 person $210.00Vegetarian Micro Meals for 4 person $280.00Breakfast Tomato, Feta, & Spinach Frittatavegetarian, gluten free Price: $15.00 Quantity: Quiche with Ham, Cheddar, Green Onion & Broccoli Price: $15.00 Quantity: Root Cellar Breakfast BurritosTwo burritos with scrambled eggs, brunch potatoes, black beans, cheddar and salsa (vegetarian) Price: $15.00 Quantity: Blueberry Sconesfive of our freshly baked scratch made scones (vegetarian) Price: $10.00 Quantity: Blueberry Muffinsthree scratch made muffins, vegetarian Price: $6.00 Quantity: French Toastwith maple syrup (vegetarian) Price: $15.00 Quantity: Dessert Classic Carrot Cake Price: $15.00 Quantity: Kids Meals Each kids meal includes 5 kids' sized portions. Cheeseburger Sliders with Tater Tots Price: $20.00 Quantity: Spaghetti & Meatballs Price: $20.00 Quantity: Parmesan Crusted Chicken Bites with Broccoli Price: $20.00 Quantity: Chicken Quesadillas with Black Beans Price: $20.00 Quantity: Mac & Cheese Price: $20.00 Quantity: Add-OnsRosemary Parmesan Ciabatta Price: $7.50 Quantity: BEVERAGESWhole Coffee Beanssold in 1lb bags Price: $15.00 Quantity: Six-Pack of BeerA mix of Local Favorites. Price: $12.00 Quantity: Half Case of Wine (6 bottles)A mix of our Red and White favorites selected by The Root Cellar Team. Price: $80.00 Quantity: Subtotal $0.00 Week 5 Alcohol Count Age VerificationYou must be of legal drinking age (21 years or older) to purchase alcohol.Please enter your date of birth to continue with your order.*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Age Verification* I confirm that I am of at least 21 years of age and understand that my age will be verified at pickup.Age - HIDDEN FIELD USED IN CALCULATION. DO NOT EDIT.You must be at least 21 years old to purchase alcohol. Please navigate back and remove the alcoholic beverages to proceed with your order. Contact InformationName* First Last Phone*Email* Enter Email Confirm Email From which location will you be picking up your order?*Chapel HillBriar ChapelPittsboroPick Up Time is between 4pm - 6pm.Pick Up Time is between 5pm - 5:30pm at 1600 Briar Chapel Pkwy, Chapel Hill, NC 27516Pick Up Time is between 4pm - 6pm.Pick Up Time is between 5:30pm - 6:00pm at The Preserve Property Owners Clubhouse at 833 The Preserve Trail, Chapel Hill, NC 27517, across the street from the Golf Clubhouse.Anything else we should know? Order Review{all_fields:value,admin,exclude[312,338,313,341,343,342,345,344,347,346,12,356,357,358,359,3,325,271,307,339,490,489,490,491,493,494,495,496,278,266,499,500,501,502,503]}Total and PaymentSubtotal $0.00 Promo Code? 7.5% Sales Tax $0.00 Add a Tip - Optional Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name