Siamese Plate - Boulder Folsom Online Ordering

Thai Menu	BOULDER Folsom Street 11:00 AM - 2:00 PM & 5:00 PM - 10:00 PM (DAILY)	Sushi & Japanese Menu
CREATE FAX ORDER HERE for Delivery or Pickup from the Boulder Folsom Street Restaurant		FAX Ordering for the Boulder 28th Street Restaurant Click Here

PLEASE SEE: FAX ORDERING INSTRUCTIONS

Thai & Japanese APPETIZERS & DESSERTS

Quantity	Thai Appetizers & Salad (See Menu for Descriptions)
	1. SATAY (4) 4.95
	2. TOD MAN (5) 6.25
	4F. FRESH THAI SPRING ROLL (2) 3.95
	4PK. PORK THAI SPRING ROLL (2) 3.95
	4V. VEGETARIAN SPRING ROLL (2) 3.95
	* 5. LAHB 6.25
	* 6. NEU NAM TOK 6.45
	*7.SPICY SEAFOOD SALAD 7.15
	9. SIAMESE PLATE SALAD 5.55
	A2. FRIED WONTON 4.45
	A3. JASMINE ROLL 4.25

Quantity	Sumida's Appetizers (See Menu for Descriptions)
	101A. Shrimp & Vegetable Tempura 5.95
	101C. Vegetable Tempura 5.75
	101T. Tofu Tempura 5.95
	102A. Hibachi Scallop 7.25
	102B. Baked Scallop 7.25
	104. Soft Shell Crab (1) 5.85
	105. Tori Kara-Age 6.15
	106. Ika Kara-Age 6.15
	107. Yaki Tofu 5.75
	111. Gyoza (5) 4.25
	112. Yakitori (2) 4.25
	113. Hibachi Spicy Beef 6.75
	114. Baked Mussel on the Shell (4) 6.95
	115. Dynamite 6.95
	116. Niku Maki 5.95


	Sumida's Desserts & Beverages (See Menu for Descriptions)
	Sweet Sticky Rice with Mango 4.25
	Sweet Sticky Rice with Custard 4.25
	Coconut Custard 3.75
	Fried Banana 3.75
	Rum Cake 2.75
	Lemon Cake 2.75
	Green Tea Ice Cream 3.45
	Coconut Ice Cream 3.45
	Thai Iced Coffee with Cream 2.95
	Thai Iced Tea with Cream 2.95

SOUP, SUSHI & ENTREE ORDERS
(Please submit an order for each person
or fill out as many Orders (1-3) as you need to avoid duplications)
Order 1 | Order 2 | Order 3
Please do not submit same form twice for two orders (we will not know what you want!)

Order
No.

Thai Soup (for 2)

THAI MAIN DISHES AND ENTREES

SUMIDA'S SUSHI
Nigiri Sushi
(1 Piece unless specified)

Maki Sushi (6 Pieces, Roll)

Maki Sushi - Cone Style:
Sushi Combinations

Hold down control key to make multiple selections!

Curry:

Stir Fry:

Ingredients - Curry or Stir Fry
Please Specify (ONE only):
Lobster 17.95
Fish 11.95
Seafood 11.95
Shrimp 10.95
Roast Duck 10.95
Chicken 9.25
Beef 9.25
Tofu (Veg) 9.25
None
Please use another form (below) to specify additional meat/Tofu orders

Noodles:

Fried Rice:

Deep Fried:

Sumida's Soup
& Salad

SUMIDA'S MAIN DISHES & ENTREES

Sumida's Combinations

Next Order

Meat & Vegetable Bowls:

Entrees:

Miso Soup with Entree

Side Orders:

Sauce RiceGinger Salad
Pint of Teriyaki Sauce
Pint of Peanut Sauce
Pint of Ginger Dressing

Updated: 07/13/2007

To order for more people, please fill out and submit another form
(Allow 10 additional minutes for order to be ready)

PERSONAL INFORMATION (Must be filled out for food order to be finalized)
Name:
Address:	Apt or Unit
City:	Zip Code:
Local Phone:	(We will call to confirm your order!)
E-Mail:

PLEASE SPECIFY HOW YOU WILL RECEIVE YOUR ORDER Please allow at least 30 minutes for Take Out / 60 minutes for Delivery (IMPORTANT: TAKE OUT AND DELIVERY HOURS: 11:00 am - 2:00 pm & 5:00 pm - 10:00 pm, DAILY) **$4.00 FOR DELIVERY**
Please Specify! Order Receipt: at: Time:
Payment Option:	Cash Check Credit Card (must have CC# & expire date to pick up)
Delivery to Address Specified Above ($4.00 WILL BE ADDED TO YOUR ORDER) *MUST BE IN BOULDER, COLORADO!*

After you've checked your selections carefully, press the "Create FAX Form" button to
create a form to FAX to the Siamese Plate on Folsom Street in Boulder
Please press the button once only.
If ordering for 2-4 people, please use the separate Order spaces on the form.

BOULDER - FOLSOM ST

Questions? See: FAX Ordering Instructions

None
1.Tuna_1.95
131.White_Tuna_1.85
132. HawSpicyTuna(2pcs)_3.95
2.Yellowtail_1.95
3.WildSalmon_1.85
4.Red_Snapper_1.85
5.Mackerel_1.85
6.Ebi_1.85
7.Tako_1.85
8.Squid_1.85
9.Smelt_Roe_1.85
10.Egg_1.85
11.Tofu_Pocket_1.85
12.JapScallop 2pcs_4.45
13.RealCrabMeat_3.25
14.SweetShrimp_2.75
15.ScallopWMayo_2.25
16.SurfClam_1.95
17.BlackMushrm_1.95
177.PickleGarlic_1.95
18.FreshWaterEel_2.35
19.SalmonRoe_2.45
20.FlyingFishRoe_2.35
21.QuailEgg_1.45

None
23.Salmon_4.75
24.Tuna_4.75
25.Yellowtail_4.75
26.CrabMeat_6.25
27.Scal_w/Mayo_5.95
28.Eel/Cucumber_6.15
29.Cucumber_4.75
30.Avocado_5.15
31.Asparagus_4.95
32.VegRoll_5.45
33.RockyMtRoll_8.95
34.SalmonSkin_5.45
35.SpiderRoll_6.95
36.California_5.75
37.LA_Roll_6.75
38.Philadelphia_5.95
39.SpicyTuna_6.45
40.TunaPoki_6.45
41.SpicyYellowtail_6.45
42.TempuraRoll_6.75
43.RockNRoll_6.45
44.DenverRoll_5.95
45.TofuRoll_5.95
46.RainbowRoll_12.95
47.FujiyamaRoll_8.45
48.LobsterRoll_9.75
50.PinkLady_5.25
51.AlbacoreTuna_6.45
52.CaterpillarRoll_12.95
53.CrispySushiRoll_5.95

None
23.Salmon_3.50
24.Tuna_3.50
25.Yellowtail_3.50
26.CrabMeat_5.00
27.Scal_w/Mayo_4.70
28.Eel/Cucumber_4.90
29.Cucumber_3.50
30.Avocado_3.90
31.Asparagus_3.70
32.VegRoll_4.20
33.RockyMtRoll_7.70
34.SalmonSkin_4.20
35.SpiderRoll_5.70
36.California_4.50
37.LA_Roll_5.50
38.Philadelphia_4.70
39.SpicyTuna_5.20
40.TunaPoki_5.20
41.SpicyYellowtail_5.20
42.TempuraRoll_5.50
43.RockNRoll_5.20
44.DenverRoll_4.70
45.TofuRoll_4.70
46.RainbowRoll_11.70
47.FujiyamaRoll_7.20
48.LobsterRoll_8.50
50.PinkLady_4.00
51.AlbacoreTuna_5.20
52.CaterpillarRoll_11.70
53.CrispySushiRoll_4.70

None
1.Tuna_1.95
131.White_Tuna_1.85
132. HawSpicyTuna(2pcs)_3.95
2.Yellowtail_1.95
3.WildSalmon_1.85
4.Red_Snapper_1.85
5.Mackerel_1.85
6.Ebi_1.85
7.Tako_1.85
8.Squid_1.85
9.Smelt_Roe_1.85
10.Egg_1.85
11.Tofu_Pocket_1.85
12.JapScallop 2pcs_4.45
13.RealCrabMeat_3.25
14.SweetShrimp_2.75
15.ScallopWMayo_2.25
16.SurfClam_1.95
17.BlackMushrm_1.95
177.PickleGarlic_1.95
18.FreshWaterEel_2.35
19.SalmonRoe_2.45
20.FlyingFishRoe_2.35
21.QuailEgg_1.45

None
23.Salmon_4.75
24.Tuna_4.75
25.Yellowtail_4.75
26.CrabMeat_6.25
27.Scal_w/Mayo_5.95
28.Eel/Cucumber_6.15
29.Cucumber_4.75
30.Avocado_5.15
31.Asparagus_4.95
32.VegRoll_5.45
33.RockyMtRoll_8.95
34.SalmonSkin_5.45
35.SpiderRoll_6.95
36.California_5.75
37.LA_Roll_6.75
38.Philadelphia_5.95
39.SpicyTuna_6.45
40.TunaPoki_6.45
41.SpicyYellowtail_6.45
42.TempuraRoll_6.75
43.RockNRoll_6.45
44.DenverRoll_5.95
45.TofuRoll_5.95
46.RainbowRoll_12.95
47.FujiyamaRoll_8.45
48.LobsterRoll_9.75
50.PinkLady_5.25
51.AlbacoreTuna_6.45
52.CaterpillarRoll_12.95
53.CrispySushiRoll_5.95

None
23.Salmon_3.50
24.Tuna_3.50
25.Yellowtail_3.50
26.CrabMeat_5.00
27.Scal_w/Mayo_4.70
28.Eel/Cucumber_4.90
29.Cucumber_3.50
30.Avocado_3.90
31.Asparagus_3.70
32.VegRoll_4.20
33.RockyMtRoll_7.70
34.SalmonSkin_4.20
35.SpiderRoll_5.70
36.California_4.50
37.LA_Roll_5.50
38.Philadelphia_4.70
39.SpicyTuna_5.20
40.TunaPoki_5.20
41.SpicyYellowtail_5.20
42.TempuraRoll_5.50
43.RockNRoll_5.20
44.DenverRoll_4.70
45.TofuRoll_4.70
46.RainbowRoll_11.70
47.FujiyamaRoll_7.20
48.LobsterRoll_8.50
50.PinkLady_4.00
51.AlbacoreTuna_5.20
52.CaterpillarRoll_11.70
53.CrispySushiRoll_4.70

None
1.Tuna_1.95
131.White_Tuna_1.85
132. HawSpicyTuna(2pcs)_3.95
2.Yellowtail_1.95
3.WildSalmon_1.85
4.Red_Snapper_1.85
5.Mackerel_1.85
6.Ebi_1.85
7.Tako_1.85
8.Squid_1.85
9.Smelt_Roe_1.85
10.Egg_1.85
11.Tofu_Pocket_1.85
12.JapScallop 2pcs_4.45
13.RealCrabMeat_3.25
14.SweetShrimp_2.75
15.ScallopWMayo_2.25
16.SurfClam_1.95
17.BlackMushrm_1.95
177.PickleGarlic_1.95
18.FreshWaterEel_2.35
19.SalmonRoe_2.45
20.FlyingFishRoe_2.35
21.QuailEgg_1.45

None
23.Salmon_4.75
24.Tuna_4.75
25.Yellowtail_4.75
26.CrabMeat_6.25
27.Scal_w/Mayo_5.95
28.Eel/Cucumber_6.15
29.Cucumber_4.75
30.Avocado_5.15
31.Asparagus_4.95
32.VegRoll_5.45
33.RockyMtRoll_8.95
34.SalmonSkin_5.45
35.SpiderRoll_6.95
36.California_5.75
37.LA_Roll_6.75
38.Philadelphia_5.95
39.SpicyTuna_6.45
40.TunaPoki_6.45
41.SpicyYellowtail_6.45
42.TempuraRoll_6.75
43.RockNRoll_6.45
44.DenverRoll_5.95
45.TofuRoll_5.95
46.RainbowRoll_12.95
47.FujiyamaRoll_8.45
48.LobsterRoll_9.75
50.PinkLady_5.25
51.AlbacoreTuna_6.45
52.CaterpillarRoll_12.95
53.CrispySushiRoll_5.95

None
23.Salmon_3.50
24.Tuna_3.50
25.Yellowtail_3.50
26.CrabMeat_5.00
27.Scal_w/Mayo_4.70
28.Eel/Cucumber_4.90
29.Cucumber_3.50
30.Avocado_3.90
31.Asparagus_3.70
32.VegRoll_4.20
33.RockyMtRoll_7.70
34.SalmonSkin_4.20
35.SpiderRoll_5.70
36.California_4.50
37.LA_Roll_5.50
38.Philadelphia_4.70
39.SpicyTuna_5.20
40.TunaPoki_5.20
41.SpicyYellowtail_5.20
42.TempuraRoll_5.50
43.RockNRoll_5.20
44.DenverRoll_4.70
45.TofuRoll_4.70
46.RainbowRoll_11.70
47.FujiyamaRoll_7.20
48.LobsterRoll_8.50
50.PinkLady_4.00
51.AlbacoreTuna_5.20
52.CaterpillarRoll_11.70
53.CrispySushiRoll_4.70