Elliott Dining 2Lunch Sack Meal Form

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Burris Laboratory School

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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)

Elliott Dining 2Lunch Sack Meal Form

eOrder Form for a Sack Meal

Lunch Meal Equivalency = $6.95 (Fall and Spring 2008-9) If items ordered exceed this amount, overage will need to be paid with Dining Plus, Cardinal CaSh, or when sack meal is picked up, with cash or personal check.

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	Grapes $1.65 Applesauce 50¢ Apple, Whole 50¢ Orange, Whole 50¢ Banana, Whole 50¢
Eggs and Dairy	Yogurt, Raspberry Lite 90¢ Yogurt, Strawberry Banana Lite 90¢ Yogurt, Blueberry 90¢ Yogurt, Cherry 90¢ Milk, Silk Soy Vanilla 11 oz. $1.99 Milk, Silk Soy Chocolate 11 oz. $1.99 Milk, Silk Soy Regular 11 oz. $1.99 Pudding Cup, Chocolate 99¢ Pudding Cup, Vanilla 99¢ String Cheese $1.25
Entree	Turkey & Cheese on White $1.75 Ham & Cheese on White $1.75 Turkey & Cheese on Wheat $1.75 Ham & Cheese on Wheat $1.75 Bologna & American Cheese on White $1.45 Bologna & American Cheese on Wheat $1.45 Peanut Butter and Grape Jelly on White $1.25 Peanut Butter and Grape Jelly on Wheat $1.25
Side Items	Cottage Cheese $1.50 Tossed Side Salad $1.25 (select dressing in condiments) Cookie, Chocolate Chip 85¢ Cookie, Peanut Butter 85¢
Beverages	BSU Water $1.05 Gatorade, Riptide Rush 20 oz $1.59 Gatorade, Orange 20 oz $1.59 Gatorade, Lemon Lime 20 oz $1.59 Gatorade, Fruit Punch 20 oz $1.59
Condiments	Catsup n/c Mustard n/c Miracle Whip n/c Mayonnaise n/c Salt packet n/c Pepper packet n/c Sliced Tomato n/c Leaf Lettuce n/c French Lite Dressing n/c Ranch Dressing n/c Ranch Lite Dressing n/c Italian Lite Dressing n/c
If meal exceeds $6.95, overage on....?	Dining Plus Cardinal Cash Cash (payable at pick up) Personal Check (payable at pick up)
Comments or special instructions

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