FRUIT PACK/DONOR PACK REQUEST FORM

Date Needed:
Time of Pickup:
Total Number Needed:
Name of Person Making Request:
Athletic Team:
Account # to be Charged:

FRUIT PACK

#1 Granola Bar Fruit (Choose 1)
Apple
(2) 4oz. Juices Orange
Banana

ANY REQUESTED SUBSTITUTIONS:

DONOR PACKS (FOR ATHLETIC TEAMS ONLY)

#2 Choice of Sandwich (Each athlete may have up to 2 sandwiches.  Please indicate the total number of sandwiches you want in each category): Fruit (Choose 1) Includes napkin and knife if needed
Turkey and Cheese Apple
Peanut Butter and Jelly Orange Granola
Bagel w/ Cream Cheese Banana Gatorade

Any Requested Substitutions:

Notes:

    1.  It is the responsibility of the person(s) picking up the packs to provide a cooler for perishable items.  Lay Dining Center does not provide coolers and will not be responsible or liable for perishable items once they leave the building

    2.  The above options are standard choices in snack packs.  Out-of-the-ordinary substitutions will be looked at, provided costs are kept in line and items are available.

    3.  We will make every effort to honor specific choices.  Substitutions will be made if requested item is out of stock.

 



Revised: October 16, 2007 .