Food Service Order Form
494 Princeton Drive
Cafeteria – Tel: 204-677-6663 Fax: 204-677-6439
Bill to: (External Use)
**Revenue
...PLEASE PRINT...
to be deposited in account 16030-4055
Bill to: (Internal Use)
Name:
Budget Centre:
Address:
Financial Coding:
Town/City:
Event/Function:
Province/Postal Code:
Date:
Telephone:
Time:
Fax:
# Attending:
Date:
Submitted by:
# Attending:
Time:
...PLEASE PRINT...
to
Name of Signing Authority:
Signature of Signing Authority:
to
Service Details: ...PLEASE PRINT...
Menu:
Deliver to:
Special Requests/Food/Decorations/Tablecloths/etc:
For UCN internal events/functions please include a list the names of all attendees. You can use the back of
this form or on a separate page.
Please check appropriate box below:
Quotation
Sub-Total
Order
PST
GST
Total
Please make all cheques payable to University College of the North
If you have any questions concerning this invoice, please contact Zachary Dunning, Chef at (204)677-6663
THANK YOU FOR YOUR BUSINESS!
June 2013