Elliott Dining Breakfast Sack Meal Form

Dining - Elliott Dining 1Breakfast Sack Meal Form

eOrder Form for a Breakfast Sack Meal (must be submitted by 4:00 p.m. the day prior to pick up)

Breakfast Meal Equivalency = $4.00 (Fall and Spring 2009-2010) If items ordered exceed this amount, overage will need to be paid with Dining Plus, Cardinal Ca$h, or when sack meal is picked up, with cash, personal check, Master Card, or Visa.

Items with an * indicate a required field.

Date needed *
Time of Day you will pickup/pay for your meal? *
First Name *
Middle Initial *
Last Name *
Address Line 1 *
Address Line 2
Phone *
Email *
Fruit and Juice	Apple, Whole $.50 Orange, Whole $.50 Banana, Whole $.50 Grape Juice Cup 6oz. $.69 Apple Juice Cup 6oz. $.69 Orange Juice Cup 6oz. $.69
Bread and Cereal	Bagel, Plain $.90 Bagel, Blueberry $.90 Bagel, Egg $.90 Bagel, Everything $.90 Bagel, Cinnamon Raisin $.90 Kelloggs Smart Start $1.29 Kelloggs Special K $1.29 Kelloggs Rice Krispies $1.29 Peanut Butter and Grape Jelly on white $1.25 Peanut Butter and Grape Jelly on Wheat $1.25 Poptarts - Strawberry $.95 Poptarts - Blueberry $.95 Poptarts - Cinnamon $.95 Poptarts - Chocolate $.95
Eggs and Dairy	Hard Cooked (Boiled) Eggs 2/$.60 Yogurt, Rasberry Lite $.95 Yogurt, Strawberry Banana Lite $.95 Yogurt, Blueberry $.95 Yogurt, Cherry $.95 Yogurt, Strawberry $.95 Milk, Silk Soy Regular 11oz. $1.50 Milk, Silk Soy Chocolate 11oz. $1.99 Milk, Silk Soy Vanilla 11oz. $1.99 Milk, 2% pt $1.09 Milk, Fat Free pt $1.09 Milk, Chocolate pt $1.09
Beverages	BSU Water $1.05 Gatorade, Riptide Rush 20oz. $1.59 Gatorade, Orange 20oz. $1.59 Gatorade, Lemon Lime 20oz. $1.59 Gatorade, Fruit Punch 20oz. $1.59
Condiments (use Comments to order extras)	Margarine $.10 ea Cream Cheese, Plain $.45 ea Cream Cheese, Light $.45 ea Jelly $.15 ea Peanut Butter, 2 oz. $.50 ea
Comments...
If meal exceeds $4.00, overage on....?	Dining Plus Cardinal Cash Cash (payable at pick up) Personal Check (payable at pick up) Debit or Credit Card (payable at pick up)

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