Grocery Order Request Form
Order Information
Student ID
910#
Email
Name
Phone
Date of Order
Payment Option
Please select...
Meal Plan Flex
Other (Sodexo office will contact for payment arrangement)
Produce
Item
Please select...
Avocado - $1.69
Blueberries (6oz) - $5.25
Grapes (2lbs) - $8.79
Raspberries (6oz) - $6.89
Strawberries (1 lb) - $2.89
Whole Fruit (Banana, Orange, Apple) - $0.99
Baby Carrots (2 lbs) - $2.29
Bell Pepper - $0.99
Broccoli (1 lb) - $1.69
Celery - $2.39
Cucumber - $1.19
Mushrooms (1 lb) - $3.19
Onion - $0.89
Potato-Yukon/Russet/Red - $0.89
Sweet Potato - $1.59
Romaine Lettuce - $1.99
Spinach (40 oz) - $5.49
Squash-Green/Yellow - $0.99
Tomato - $0.89
Qty.
Subtotal
Dairy
Item
Please select...
2% Milk (1 gal) - $4.89
Almond, Oat, Coconut, Soy Milk (32 oz) - $3.59
Eggs (1dz) - $4.25
Margarine ( 1 lb) - $1.49
Qty.
Subtotal
Meats & Cheese
Item
Please select...
Deli Ham/Turkey/Salami (1 lb) - $8.49
Chicken Breasts (4- 4oz boneless) - $6.85
Hamburger Patties (8) - $9.99
All Beef Hot Dogs (8) - $9.99
Sliced Cheddar (1.25 lbs) - $5.99
Sliced Provolone (1.25 lbs) - $5.99
Sliced Swiss (1.25 lbs) - $6.49
Qty.
Subtotal
Bakery
Item
Please select...
White or Wheat Loaf - $3.99
Bagels: Plain/Everything - $0.89
Gluten Free Bread&Bagels - $1.05
Hamburger/Hot Dog Buns - $3.99
Pita Bread ( 10 pk) - $2.99
Qty.
Subtotal
From the Pantry
Item
Please select...
Canola Oil (1gal) - $16.55
Pasta (1lb Penne, Spaghetti, Elbow) - $1.49
Rice (1 lb) - $1.99
Cereal (Asst. 6 Pack) - $6.99
Ranch Dressing (5 - 1.5oz packets) - $1.99
Caesar Dressing (5 - 1.5oz packets) - $1.99
Qty.
Subtotal
Total Request
Contact Information