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City of Northampton, Massachusetts
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Mary's Bistro Lunch Order Form

  1. Please fill out the date you wish the meal for

  2. Over 60 and Eating at Mary's Bistro

    Are you over 60 and planning to eat at Mary's Bistro

  3. Are you ordering a $7.00 meal to go and under 60?

    Click the box to order your $7.00 meal to go and are under 60

  4. Please indicate if you have any Dietary Restrictions. (Ex: Gluten Free, No Dairy, Vegetarian, etc.) Or Type NO Restrictions in the box. Thank you.

  5. Leave This Blank:

  6. This field is not part of the form submission.