Our Lady's Kitchen
Pilgrimage Menu Options
Menu Selections Must Be Chosen 20 Days Before Visit.........Not Less Than 30 People
Your Name
Today's Date:
How Many In Your Group:
    (Not Less Than 30)
Name of Your Group
Date of Your Group's Visit:
Your Address:
Departure Time
Arrival Time
Arriving By Bus or Private Vehicles
Your Home Phone #
Your Cell Phone # (Optional)
Your E-mail Address
    (Optional)
$
Sweets on Arrival $4.00 ea (Continetal Style)
    *Includes Coffee, Tea, Decaf & Orange Juice
Qty
 Total
Yes
 No
$
Yes
 No
 Qty
 Total
Hot Lunch - $9.50 ea (Includes Coffee, Tea, Decaf & Fruit Punch)
Beef Hoagie W/Cheese & Onions
Choose One -
Chicken Breast Sandwich
Turkey W/Bacon & Cheese
2 Slices of Pizza
Fish Sandwich
Choose One -
Salad
Pasta Salad
French Fries
Cake
Choose One -
Jello
Fruit Cup
Ice Cream
_______________________________________________________________________________________________
Entree - Lunch or Dinner - (All Include Salad, Bread & Butter, Beverage, (Coffee, Tea, Decaf & Fruit Punch)
 Yes
No
Entree - Lunch or Dinner - $15.00
Choose One
2 - 4 oz. Pork Chops, Breaded, Baked
1 - 8 oz. Pork Chop, Breaded, Baked
$
Qty
 Total
Entree - Lunch or Dinner - $13.00
Choose One
Baked 1/2 Chicken
Roast Beef Dinner
Meat Loaf Dinner
Baked Fish Dinner
$
Qty
Total
Entree - Lunch or Dinner - $10.00
Choose One
Spaghetti W/Two Meatballs
$
Qty
 Total
Entree Desert
Choose One
Cake
Jello
Fruit Cup
Entree Sides- Lunch or Dinner
Choose One:
or
Penne Pasta
 Cavatelli Pasta
Huluski
Choose One:
or
Butter Parsley Potato
 Mashed Potato
 Baked Potato
 Italian Oven Baked Potato
Green Beans Almondine
Choose One:
or
California Wonder
Sweetened Baby Carrots
Corn
Choose One:
Green & Yellow Beans W/Carrots
Total $
Please Fill Out Form, Click "Print me" and mail to the:
National Shrine of Our Lady of Lebanon
2759 North Lipkey Rd
North Jackson, Ohio 44451
(Phone # 330-538-3351)
Please call the Shrine Pilgrimage
Director, Joanne Mediati if you
have questions about your visit or
for updates / changes we may
have made to our Menu
(330) 538-3351