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Sick and Hungry Delivery Request

We are sorry you are not feeling well.  While initially you may not want to eat, food can help in your recovery.  Please provide us with the following infrmatin so that we can assist you:

Name:
Do you have a meal plan?: Yes No
Student ID Number:
Residence Hall:
Room #:
Telephone:
Cell Phone:
Email:

Please answer a couple of questions so that we can better help with your nutrition needs:

Do you have access to a refrigerator?: Yes No
Do you have access to a freezer?: Yes No
Do you have access to a microwave?: Yes No
Do you have any food restrictions or food allergies?: Yes No

Please explain:

Select one:
Flu bag option (3 meal in one bag)
Regular diet to go

Who will be picking up your meals for you:
Name:
Phone:

YOUR MEAL CARD MUST BE PRESENTED TO CASHIER

All alternate meals ordered due to illness, will be deducted from your meal plan weekly totals.

Call the Flu Help Line with any concerns, questions, or if you need help.
804-289-8847 (local) and 866-920-5461 (toll-free)

If you are sending this request after 5:00 p.m. Monday - Friday or weekends and holidays pleas call 289-8522.

Dining Services Telephone Numbers:

Monday - Friday 8:30am-5:00pm (804)289-8512
Monday-Friday 5:00pm-8:00pm (804)289-8522
Saturday-Sunday 8:00am-8:00pm (804)289-8522



Contact: Jim Moore
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