Woodworth Commons 3Dinner Sack Meal Form

Dining - Woodworth Commons 3Dinner Sack Meal Form

eOrder Form for a Sack Meal

Dinner Meal Equivalency = $7.55 (Fall and Spring 2009-2010) If items ordered exceed this amount, overage can be paid with Dining Plus, Cardinal Ca$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 Very Fine Apple Juice $1.89 Very Fine Orange Juice $1.89 Very Fine Grape Juice $1.89 Very Fine Cranberry Juice $1.89
Eggs and Dairy	Yogurt, Raspberry Lite $.95 Yogurt, Strawberry Banana Lite $.95 Yogurt, Blueberry $.95 Yogurt, Cherry $.95 Milk, Silk Soy Vanilla 11 oz. $1.99 Milk, Silk Soy Chocolate 11 oz. $1.99 Milk, Silk Soy Regular 11oz. $1.50 Milk, 2% 1 pint $1.19 Milk, Skim 1 pint $1.19 Milk, Chocolate 1 pint $1.19
Entree	Tuna Salad on Wheat Bread $1.95 Tuna Salad on Croissant $3.95 Egg Salad on White Bread $1.75 Uncrustables PB & J $.95 Tossed Side Salad $1.25 (select dressing in condiments) Caesar Salad $3.25 (select dressing in condiments)
Side Items	Carrots with Dressing $.95 Cottage Cheese $.99 Macaroni Salad $1.25 Lays Potato Chips $1.29 Lays BBQ Potato Chips $1.29 Baked Lays Potato Chips $1.29 Cookie, Chocolate Chip $.85 Cookie, Peanut Butter $.85
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	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 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 $7.55 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)
Comments and Special Instructions

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