LaFollette Square 1Breakfast Sack Meal Form

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Burris Laboratory School

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Nutrition Information

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Ball State University Dining
Carmichael Hall
Room 140
Muncie IN 47306
Phone: 765-285-1967
Fax: 765-285-3713
athome@bsu.edu

Hours: ADMIN OFFICE
8:00 a.m. - 5:00 p.m.
(Fall····Spring)
7:30 a.m. - 4:00 p.m.
(Summer)

LaFollette Square 1Breakfast Sack Meal Form

eOrder Form for a Sack Meal

Breakfast Meal Equivalency = $3.95 (Fall and Spring 2008-9) If items ordered exceed this amount, overage will need to be paid with Dining Plus, Cardinal Ca$h, or when sack meal is picked up with cash, personal check, or credit card.

Items with an * indicate a required field.

Date needed *
Time of day you will pick up/pay for your meal? *
First Name *
Middle Initial *
Last Name *
Address Line 1 *
Address Line 2
Phone *
Email *
Fruit and Juice	Mixed Fruit Cup 99¢ Apple, Whole 50¢ Orange, Whole 50¢ Banana, Whole 50¢ Very Fine Apple Juice $1.79 Very Fine Orange Juice $1.79 Very Fine Cranberry Juice $1.79
Bread and Cereal	Otis Spunkmeyer Muffin Banana Nut $1.25 Otis Spunkmeyer Muffin Blueberry $1.25 Kelloggs Apple Jacks $1.29 Kelloggs Special K $1.29 Kelloggs Frosted Flakes $1.29 Slice of White Bread 15¢ Slice of White Bread 15¢ Slice of Wheat Bread 15¢ Slice of Wheat Bread 15¢ Poptart 2 pkg, Cinnamon 95¢ Poptart 2 pkg, Chocolate Fudge 95¢ Poptart 2 pkg, Strawberry 95¢
Eggs and Dairy	Eggs, Hard Boiled 2 for 60¢ Milk, 2% 1 pint $1.09 Milk, Skim 1 pint $1.09 Milk, Chocolate 1 pint $1.09
Beverages	Evian $1.50 Coke 20 oz $1.30 Diet Coke 20 oz $1.30 Sprite 20 oz $1.30 Mountain Dew 20 oz $1.30 Diet Mountain Dew 20 oz $1.30
Condiments	Margarine 10¢ Margarine 10¢ Jelly 15¢ Jelly 15¢ Peanut Butter 2 oz 50¢ Peanut Butter 2 oz 50¢
If meal exceeds $3.95, overage on....?	Dining Plus Cardinal Cash Cash (payable at pick up) Personal Check (payable at pick up) Credit Card - Visa or MasterCard (payable at pick up)
Comments and special instructions


Pick up your meal at Out of Bounds

Substitutions may be made if the dining unit is 'out of stock' for an item you have requested.