Food & Beverage Consumption Form

BREAKFAST     LUNCH    PICK-ME-UP     DINNER      HORS D'OEUVERS

INSTRUCTIONS: Fill out the form below and then click the "Go to Confirmation Page" button at the bottom of the page.  This will automatically submit this information to Dennis Baird, Linda Mehren and Tammi Sinsel in Nutrition Services.  Once you see the Confirmation page, print two copies, keeping one for your records, and have the budget authority or designee sign the second copy.  Send the signed copy to Nutrition Services.

One order form needs to be filled out PER DATE!  If you have multiple dates for one order, submit this form, print the confirmation page, and click the back button of your browser to alter the dates accordingly to submit one order per date.  Follow the same process for each new date.

If this is an EMERGENCY order, please call Dennis Baird at 953-7415.

* Date of Order:

* Date & Day of Function:
* Event Name:

* Location of Event:
* Set-Up Time:

* Location Room #:
* Phone #:

Estimated # of People:
No ranges please. Only digits.
* Serving Time:

* Invoice to be billed to:
* Pick-Up Time:   When would you like the Catering Team to pick up?

METHOD OF PAYMENT
Budget #
LOC PROG ACTV OBJ

Please be sure to include the Budget# if you've checked the box.

Purchase Order #
   For outside orders only.

 Please be sure to include the PO# if you've checked the box.
Check By checking these boxes, you will be expected to pay by cash and/or check.
Cash
* Requestor's First Name:
* Requestor's Last Name:

* Requestor's Email:

   Please type in full email address.

* Address to send billing:

* What is your budget
range per person?

   From $:   To $: How much would you like to spend on each person?  An 8% charge for pick up and delivery will be added to the order.

Based on your budget range, your order total will be approx.:

  From $:   To $:
* Why are you furnishing food & beverages?
 * How will this benefit the District?
* Who is attending? (group, staff, committee, etc.)
 What would you like to order?

Is District business, students, and/or staff involved in this order?
     Yes  No
 
Would you like to be contacted?
     Yes  No

Please print the following page for the budget authority or designee signature.

Please click the button only ONCE!