Burris Sack Meal Form

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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)

Burris Sack Meal Form

eOrder Form for a Sack Meal

Submit this form by 1:00 p.m., one day prior to the date the sack meal is needed. For sack meals needed on Monday, submit the form by 12:00 noon the Friday before.

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 *
Burris ID #
Grade
Teacher
Address Line 1 *
Address Line 2
Phone *
Email
Fruit and Cottage Cheese (Choose 1)	Cottage Cheese Canned Fruit Apple, Whole Orange, Whole Banana, Whole
Juice (Choose 1)	Orange Orange/Pineapple Apple Grape
Dairy (Grade 1-5 Choose 1) (Grade 6-12 Choose 2)	Milk, 2% Milk, Chocolate Milk, Strawberry Milk, Skim
Entree	Bologna & American Cheese on White Bologna & American Cheese of Wheat Peanut Butter & Jelly on White Peanut Butter & Jelly on Wheat Hard Cooked Egg Celery & Carrot Sticks with Ranch Dressing Celery & Carrot Sticks with Peanut Butter Slice of America Cheese
Condiments	Catsup Packet Mustard Packet Miracle Whip Packet Mayonnaise Packet Salt Packet Pepper Packet Sliced Tomato
Choose if desired	Potato Chips (assorted) Cookie
For your safety, sack meals should be stored in the refrigerator
Comments or special instructions

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