Woodworth Commons 1Breakfast Sack Meal Form

Dining - Woodworth Commons 1Breakfast Sack Meal Form

eOrder Form for a Sack Meal

Breakfast Meal Equivalency = $4.00 (Fall and Spring 2009-2010) If items ordered exceed this amount, overage can be paid with Dining Plus, Cardinal Ca$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	Apple, Whole $.50 Orange, Whole $.50 Banana, Whole $.50 Grapes $.99 Cantalope $1.25 Strawberries $1.65 Very Fine Orange Juice $1.89 Very Fine Grape Juice $1.89 Very Fine Apple Juice $1.89 Very Fine Cranberry Juice $1.89
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 2 Slices of White Bread $.30 2 Slices of Wheat Bread $.30 Uncrustables, PB&J $.95 Bagel, Plain $.85 Bagel, Wheat $.85 Bagel, Cinnamon Raisin $.85
Eggs and Dairy	Eggs, Hard Boiled 2 for $.60 Milk, 2% 1 pint $1.19 Milk, Skim 1 pint $1.19 Milk, Chocolate 1 pint $1.19 Yogurt, Blueberry $.95 Yogurt, Cherry $.95 Yogurt, Raspberry Lite $.95 Yogurt, Strawberry Banana Lite $.95
Beverages	BSU Water $1.05 Coke 20 oz $1.35 Diet Coke 20 oz $1.35 Sprite 20 oz $1.35 Mountain Dew 20 oz $1.35 Diet Mountain Dew 20 oz $1.35
Condiments	Margarine, 1 Pat $.10 Margarine, 2 Pats $.20 Jelly, 1 Container $.15 Jelly, 2 Containers $.30 Peanut Butter, 2 oz 1 for $.50 Peanut Butter, 2 oz 2 for $1.00
If meal exceeds $4.00 overage on....?	Dining Plus Cardinal Ca$h 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 Woodworth Commons

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