Oasis Lounge

4121 W Maple, Wichita, KS

Call or FAX in Orders 943-9260

Fax Order Form
(Please complete all blanks)

My Name:

 My Office Phone # :

My Company:

 My Office Fax # :

My Order

 Item
 Quantity    Instructions (toppings, condiments, etc.)
 

 
 
 

 
 
 

 
 
 

 
 
 

 
 
 

 
 
 

 
 

Approximate time I will pick up this order: