FormDownload Logo

Free Chipotle Cumberland Fax Order Form - PDF Form Download

Chipotle Cumberland Fax Order Form Overall rating: ☆☆☆☆☆ 0 based on 0 reviews
5 1

This is the Fax Order form for Chipotle Cumberland download the Free PDF Format of the Fax Order.

Chipotle Cumberland Fax Order Form


Text Version of the Form

Fax Order Form – Cumberland

(PLEASE FILL OUT COMPLETELY EVEN IF YOU’VE FILLED OUT THE OTHER SIDE)
1 START HERE DATE COMPANY NAME CONTACT NAME PHONE PICK-UP TIME? PAGE OF
2973 Cobb Parkway (PLEASE PRINT) D

11 am – 10 pm
2 Complete the form below. 3 Fax your order to (770)-916-1292. 4 Call (770)-916-0788 to confirm.

BURRITOS, TACOS & SALADS

BURRITOS & BOWLS ORDER BEANS WITH +$1.80
cilantro-lime rice, vegetarian black beans or RICE cIRcLE oNE SALSA DAIRY N/c oN DRINK
pinto beans (cooked with bacon), meat, salsa, NAME burrito • burrito boWL FAJITA VEG ITEMS PLEaSE WritE iN FLaVor
and cheese or sour cream. Served in a flour cRISPy TAcoS • SofT fLoUR TAcoS WHitE broWN BLAcK PINTo VEG CHk cAR STEAK BAR VEG MiLd MEd MEd Hot SoUR cR CHEESE GUAcAMoLE LETTUcE aNd SPEC iFY SiZE
SoFt CorN taCoS • SaLad ToM coRN GREEN
tortilla or in a bowl.

TACOS
1 W BR B P F C CA S B V M MC MG H SC C G L
Three crispy corn, soft corn or soft flour tortillas
with meat, salsa, sour cream or cheese, and lettuce.

SALADS 2 W BR B P F C CA S B V M MC MG H SC C G L
chopped romaine lettuce with choice of beans,
meat, salsa and cheese. Served with freshly
made chipotle-honey vinaigrette.
3 W BR B P F C CA S B V M MC MG H SC C G L

CHICKEN . . . . . . . . . . . . . . . . . . . . . . . . . . . $6.25
Marinated in our chipotle
adobo, then grilled. 4 W BR B P F C CA S B V M MC MG H SC C G L

STEAK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $6.65
Marinated in our chipotle
adobo, then grilled. 5 W BR B P F C CA S B V M MC MG H SC C G L

CARNITAS. . . . . . . . . . . . . . . . . . . . . . . . . .$6.65
Seared pork, braised for
hours, then shredded. 6 W BR B P F C CA S B V M MC MG H SC C G L

BARBACOA . . . . . . . . . . . . . . . . . . . . . . . . $6.65
Beef braised for
hours, then shredded. 7 W BR B P F C CA S B V M MC MG H SC C G L

VEGETARIAN . . . . . . . . . . . . . . . . . . . . . .$6.25
A vegetarian option with our freshly made
guacamole and vegetarian black beans. 8 W BR B P F C CA S B V M MC MG H SC C G L

SALSAS
Fresh Tomato . . . . . . . . . . . . . . . . . . . . . . . . Mild 9 W BR B P F C CA S B V M MC MG H SC C G L
Roasted Chili-Corn . . . . . . . . . . . . . . . Medium
Tomatillo-Green Chili . . . . . . . . . Medium Hot
Tomatillo-Red Chili . . . . . . . . . . . . . . . . . . . Hot
10 W BR B P F C CA S B V M MC MG H SC C G L

EXTRAS
Chips & Guacamole. . . . . . . . . . . . . . . . . . . . . . $2.95
Chips & Salsa. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1.75 11 W BR B P F C CA S B V M MC MG H SC C G L
Guacamole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $1.80

$
Chips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.25

12 W BR B P F C CA S B V M MC MG H SC C G L
DRINKS
$ $
Bottled Drinks. . . . . . . . . . . . . . . . . . 2.10 / 2.50
$ $ O
Soda. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.60 / 1.90
Example Burrito W BR B P F C CA S B V M MC MG H SC C G L Lg Coke

 Advertisements

Chipotle Cumberland Fax Order Form Reviews

Review this Form

Name
Email
Rating
Review