Linda Fiveson
LONG ISLAND WEIGHT COUNSELING, INC.




FOOD ORDER FORM

Click "Food List" button to see a list of foods available for purchase. Then complete the form below with item name and quantity.  When order is complete press the sybmit button at bottom of order form. 
Please don't forget to include your contact information.

When your order is complete please press the "Submit" button at bottom of the form.


THANK YOU!