LaFollette Square 2Lunch Sack Meal Form

Dining - LaFollette Square 2Lunch Sack Meal Form

eOrder Form for a Sack Meal

Lunch Meal Equivalency = $7.20 (Fall and Spring 2009-2010) If items ordered exceed this amount, overage can be paid with Dining Plus, Cardinal Ca$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 Applesauce Cup $.50 Apple, Whole $.50 Orange, Whole $.50 Banana, Whole $.50
Eggs and Dairy	Silk Soy Milk, Vanilla $1.99 Silk Soy Milk, Chocolate $1.99 Silk Soy Milk, Regular $1.99 Milk, 2% 1 pint $1.09 Milk, Skim 1 pint $1.09 Milk, Chocolate 1 pint $1.09
Entree	Tuna Salad on Wheat $1.95 Tuna Salad on White $1.95 Egg Salad on Wheat $1.75 Egg Salad on White $1.75 Ham & American Cheese on Bun $1.95 Garden Chef $3.50 (select dressing in condiments)
Side Items	Carrotts & Celery Sticks $1.75 Potato Chips $.99 BBQ Potato Chips $.99 Baked Lays Potato Chips $.99 Little Debbie Cakes $.50 Little Debbie OatmealPie $.50 Little Debbie Nutty Bar $.50
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	Catsup n/c Mustard n/c Miracle Whip n/c Mayonnaise n/c Salt Packet n/c Pepper Packet n/c Sliced Tomate n/c Leaf Lettuce n/c Catalina Dressing n/c Ranch Dressing n/c Ranch Lite Dressing n/c Italian Dressing n/c Italian Lite Dressing n/c
If meal exceeds $7.20, 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)

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