Lake Shore Order Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Arrival Date at Lake Shore Village
*
-
Month
-
Day
Year
Date - if less than a week away, please call 603-529-2328
Cabin
Please select the items you would like to have in your cabin prior to your arrival.
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Breakfast
$
Free
Dozen Extra Large Brown Egg
$
3.49
Quantity
1
2
3
4
5
6
7
8
9
10
Our Own Breakfast Sausage (2 patties)
$
2.50
Quantity
1
2
3
4
5
6
7
8
9
10
Sliced Bacon - 1lb
$
6.99
Shake n Pour Pancake Mix
$
2.99
Plain Thomas Bagel - 6 pack
$
4.69
Philadelphia Cream Cheese
$
3.59
Thomas English Muffins - 6 pack
$
4.39
Land of Lakes Salted Butter
$
5.99
Cheerios
$
5.99
Simply Orange Juice - 54oz bottle
$
4.99
Gallon Milk
$
4.29
Type
Whole
2%
Fat Free
Hometown Coffee - Locally Roasted
$
11.99
Half & Half - pint
$
2.25
Snacks
$
Free
Lays Classic Potato Chip - Family Style
$
4.29
Cabot French Onion Dip
$
2.59
Tostitos Original
$
4.29
Tostitos Salsa - Medium
$
3.69
Triscuit Cracker
$
4.39
In House Smoked Pepperoni Stick
$
5.99
Cracker Barrel Cuts - White Cheddar
$
5.19
Chips Ahoy Cookies
$
3.99
Sandwiches
$
Free
Canadian White Bread
$
3.99
Split Top Wheat Bread
$
3.99
Sliced In-house Roast Beef - 1lb
$
11.99
Pounds
1
2
3
4
5
6
7
8
9
10
Sliced McKenzie Turkey - 1lb
$
8.99
Pounds
1
2
3
4
5
6
7
8
9
10
Sliced McKenzie Ham - 1lb
$
8.99
Pounds
1
2
3
4
5
6
7
8
9
10
Kraft White American Cheese Slices
$
3.59
Hellmans Mayonaise - 11.5oz
$
3.99
Jiffy Creamy Peanut Butter
$
3.99
Welch Grape Jelly
$
3.09
Meat Packages
$
Free
Meat Package #1 - 4 Angus Rib Eye, 2lb. Angus Ground Chuck, 2lb. Our Own Hot Sausage, 2lb. Our Own Sweet Sausage
$
65.00
Meat Package #2 - 4 Angus London Broil, 2lb. Angus Ground Chuck, 4lb. Steak Tip, 2lb. Chicken Breast
$
79.00
Meat Package #3 - 4lb. Southern Style Boneless Assorted Pork Ribs, 2lb. Angus Ground Chuck, 2lb. Schonland's Franks, 4lb. Assorted Chicken Wings
$
45.00
Meat Package #4 - Grill Ready - 4lb. Assorted Chicken Wings, 5lb. Split Chicken, 2lb. Angus Ground Chuck, 2lb. Scholand's Franks, 4lb. Chicken Breast
$
59.00
Side Salads
$
Free
Macaroni Salad - 1lb
$
2.99
Pounds
1
2
3
4
5
6
7
8
9
10
Chicken Bacon Ranch Mac Salad - 1lb
$
5.99
Pounds
1
2
3
4
5
6
7
8
9
10
Potato & Egg Salad - 1lb
$
4.99
Pounds
1
2
3
4
5
6
7
8
9
10
Potato Cheddar Bacon Salad - 1lb
$
5.99
Pounds
1
2
3
4
5
6
7
8
9
10
Smoked Baked Bean - 1lb
$
6.99
Pounds
1
2
3
4
5
6
7
8
9
10
Chicken Salad - 1lb
$
6.99
Pounds
1
2
3
4
5
6
7
8
9
10
Other Groceries
$
Free
Frankfurt Hot Dog Rolls - 8 rolls
$
3.29
Hamburger Buns - 8 buns
$
3.29
Frenchs Mustard
$
3.99
Heinz Ketchup Squeeze
$
2.39
A1 Steak Sauce
$
5.69
Jack Daniels EZ Marinader - Mesquite
$
4.29
Drinks
$
Free
Dasani Purified Water - 24 pack
$
4.99
12 Pack Soda
$
5.39
Flavor
Coke
Diet Coke
Sprite
Pepsi
Diet Pepsi
Mountain Dew
Schweppes Ginger Ale
Caparison - Fruit Punch
$
3.99
All Day IPA - 15 pack cans
$
19.99
Bud Light - 12 pack cans
$
12.99
Bud Light - 18 pack cans
$
16.99
Budweiser - 12 pack cans
$
16.99
Budweiser - 18 pack cans
$
16.99
Coors Light - 12 pack cans
$
11.99
Coors Light - 18 pack cans
$
16.99
Corona - 12 pack bottles
$
16.99
Corona Light - 12 pack bottles
$
16.99
Henniker Brewing Company - 6 pack cans
$
10.99
Flavor
Hop Slinger
Miles & Miles
Heineken - 12 pack bottles
$
16.99
Miller Light - 12 pack cans
$
11.99
Miller Light - 18 pack cans
$
16.99
Samuel Adams - 12 pack bottles
$
17.99
Flavor
Boston Lager
Summer Ale
Porch Rocker
Mike's Hard - 6 pack bottles
$
10.99
Flavor
Lemonade
Lime
Black Cherry
Mango
Twisted Tea - 6 pack bottles
$
10.99
Flavor
Orginial
Half & Half
Raspberry
Peach
Mr. T Bloody Mary Mix
$
4.49
Yellow Tail Chardonnay
$
10.99
Smoking Loon Chardonnay
$
15.99
Sutter Home Pinot Grigio
$
7.99
Pacific Sur Rose
$
11.99
Barefoot Merlot
$
8.99
Fat Bastard Merlot
$
14.99
Naked Grape Cabernet Sauvignon
$
8.99
Ice for Weddings or Large Parties
$
Free
Sleeve of Ice - 6 bags (30 pounds)
$
11.94
Sleeves
1
2
3
4
5
6
7
8
9
10
Subtotal
$
0.00
Shipping
$
0.00
Total
$
0.00
Credit Card
First Name
Last Name
Credit Card Number
Security Code
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
Expiration Year
Special Requests? - Need something not listed? Let us know and we will let you know what we can do.
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