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* 1. Please enter your information in the space provided. If you have specific dietary needs, please list them so we may better serve you. Thank you for giving up your time to participate in Poly High School's Self Study.

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* 2. MONDAY, MARCH 10, 2014

We will be serving fresh sandwiches from Panera. Please list below the items you want including style of chips, size of sandwich and beverage.

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* 3. TUESDAY MARCH 11, 2014

We will be serving items from Chipotle. Please list the items you prefer including beverage.

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* 4. WEDNESDAY, MARCH 12, 2014

We will be ordering from local favorite, Ramano's. Please list all items that you would like including beverage.

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* 5. Please provide for us what kinds of snacks and beverages you would prefer throughout the day.

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