Meal Equivalency Program – Group Meal Pack

Organization Name * Required
Contact Name * Required
First Last
Contact Email * Required
Contact Phone * Required
Pick Up Date ***Minimum of 72 Hours Advance Notice*** * Required
MM slash DD slash YYYY
Pick Up Time * Required
Pick up from the main kitchen in the lower level of Thomas Commons, between 6:00 a.m. and 7:00 p.m.

Hours :

Minutes

AM/PM AM/PM
Date meals are replacing * Required
MM slash DD slash YYYY
List All Student Names/ID/Email
EVERY column must be filled in with correct information. Please provide here, or copy/paste your roster into the notes section below.
First Name Last Name ID # Email Address
MEAL OPTIONS:
Option 1: Powerade + Powerbites + Fruit Quantity
2 Powerades, 1 whole fruit, 2 house-made powerbites
Price: $0.00
Option 2: Powerade + Granola Bars + Fruit Quantity
2 Powerades, 1 whole fruit, 2 granola bars
Price: $0.00
Option 3: Protein Shake + Powerbites Quantity
1 Core Power Elite Protein Shake, 2 house-made powerbites
Price: $0.00
Option 4: Protein Shake + Granola Bars Quantity
1 Core Power Elite Protein Shake, 2 granola bars
Price: $0.00
Core Life Protein Shake Flavor Options
- All Vanilla
- All Chocolate
- Half Vanilla + Half Chocolate
Please note any special requests or dietary restrictions:

First Name	Last Name	ID #	Email Address

MEAL OPTIONS: