Food & Beverage Request form

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Requestor: Today's Date:

Phone #:

Email:

Name of Function:

Date of Event: Time of Event:

Place of Event: * Has Room Reserved? Yes No
(Building/Rm)

* It is the responsibility of the requestor to reserve the room

Number of Persons to be Served: Fax Number:

Charge to: (Dept) Cost Center:

NOTE: All information must be provided 2 weeks prior to event - No Exceptions

Paper

China

Delivery

Staffed

Menu Desired: (If you wish to have menu selections provided by the chef, please note in this section with a cost range estimate you wish to stay within):
Cost Range $ per person/ or event

Specific Details: (Type of setup)

Layout attached

Repeat Event: Please use the same menu as last years event

Date of Previous Event:

Approval Routing:	Requestor:
	Cost Center Administrator:

Dining Services - Please call 570-662-4927 for catering event questions - all calls returned within 24 hours. Food and Beverage Form must be completed for every event and faxed to 570-662-4324. Confirmation will be received within 48 hours.

Counts are due by 12 noon 3 days prior to the event

Food & Beverage Request form

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Food & Beverage Request form

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