Please be as specific as possible and inform us of any allergies or other details

Similar documents
Please be as specific as possible and inform us of any allergies or other details. Fruits Type Quantity Organic? Vegetables Type Quantity Organic?

Grocery List. Product Name Unit Size Quantity Special Requests, i.e, Specific Brand, Organic, Gluten-Free

SUNSHINE GROCERY SERVICE

Making Your Shopping List A Real World Math Lesson

Ordering Your Carbohydrate Counting Diet

GATEWAY GROCERY & LIQUOR - GROCERY ORDER FORM

Catering To You. Please browse through our menu & select your meal for breakfast, lunch or dinner.

Good Life MV Pam Rogers

Welcome! - Phone Extension MENU (6368) - Please allow 45 minutes from the time you place your order until delivery to your room. Thank you!

Meal Service Times. How To Place Your Order

Regular Menu Revised October 2018

Grocery Order Form. Office: (808) PO BOX Pukalani, HI 96788

SavingSwagger. Snacks. Table of Contents. 1. Produce 2. Salty Snacks 3. Sweet Snacks 4. Granola Bars/Fruit

2018 OSAI Menu Everyday items The following items will be provided every day in addition to the daily menus

ROOM SERVICE GOLISANO CHILDREN S HOSPITAL. Dial 7-FOOD (7-3663) Food & Nutrition Services for General Diets, Heart Healthy Diets and Diabetic Diets

ICF/IID Items. Dairy Cheddar cheese slices Pineapple-orange juice Reduced fat cream cheese 2% milk Skim milk Fat free sour cream Fat free Greek yogurt

Meal Service Times. How To Place Your Order

Meal Service Times. How To Place Your Order

Meal Service Times. How To Place Your Order

Meal Service Times. How To Place Your Order

Calorie 14 Day Menu Set Calories, grams fat. 2 Milk (Mk) 6 Meat (Mt) 6 Starches (St) 4 Fruits (Fr)* 4+ Vegetables (Vg) 6 Fat (Ft)

PRODUCT (ALPHABETIZED)

Alexis Dewey Madison Dobson Carrie Draney Breanne Draper Rachel England

Food Allergens and Processed Ingredient List

This packet provides information for your individual nutrition report as well as a food questionnaire.

Sunshine Terrace Café Menu

"HIP" GROCERY PRICE POINTS

Meal Service Times. How To Place Your Order. Special Diets Cardiac/Heart-Healthy Diet

Eating Healthy at Cuicacalli and University Towers

Menu Planner Week of BREAKFAST LUNCH DINNER S U N M O N T U E W E D T H U F R I S A T. Form 9

1300 Calorie 14-Day Menu Set Calories, grams fat

Food Allergen s. Corn. Peanuts Pork. Egg. Milk. Wheat. Corn. Egg

Meal Service Times. How To Place Your Order

Food Allergens and Processed Ingredient List

South Spencer County Schools. Food and Health. Services. Carb Count

Room Service Menu. Strong Memorial Hospital. Food & Nutrition Services DINING HOURS

AS YOU LIKE IT. room service for kids. What you want to eat, when you want to eat!

Food Inventory Preferences

UPMC Montefiore In-Room Dining

SCHOOL MENU All items are analyzed using the most accurate information as of: 10-Dec-15 ALLERGY LIST

CARBOHYDRATE COUNT TYPE OF FOOD SERVING SIZE TOTAL CARBS (CHO)

Baked Goods White Bread or Whole Wheat Bread Multigrain Bread Marble Rye Bread Cheese & Garlic Biscuits (4/pack)

CARB COUNTS METZ/SYCSD MENUS

BREAKFAST ITEMS GRADE LEVEL SERVING SIZE CARBS CALORIES Bagel K-12 1 whole Cereal, Applejacks K-12 1 oz Cereal, Cin.

CALORIES (kcal) cocoa crunchies/cocoa puffs* 1 cup /27 170/105 1/0. cinnamon toast crunch* ¾ cup

6-Day Cycle Menu. Water

Carbohydrate Count by Item Revised Onalaska School Nutriton Program

Home Food Inventory. Lower fat products will be labeled as reduced-fat, low-fat, light, nonfat, or skim on product and can be interchangeable.

The Smucker Child Development Center

Room Service: Made for You

Food Chaining Intake Form

Four Seasons Daycare Week 1 Menu. Monday Tuesday Wednesday Thursday Friday A.M.Snack

Healthy Catering in the Workplace

1 oz 1 ½ oz 2 oz Turkey Meatballs and Tomato Sauce. Whole Wheat Penne Add. Food. LF Ranch option Snack Fluid ½ cup ½ cup 1 cup Apple Juice

Meal Service Times. How Do I Place an Order?

BREAKFAST JUICES + FRUIT SIDE ORDERS. Small Juice 1.79 Choose from Orange, Cranberry, Grapefruit, Tomato, Apple and V8 Juice.

GPS Elementary Education- Allergies

Qrba/fosf. Most items served all day. Please call between 6:30 a.m. (after your morning fasting labs) to 6:00 p.m. Fruits, Juices, and Yogurt.

Common Food Allergens

Four Seasons Daycare Week 1 Menu. Monday Tuesday Wednesday Thursday Friday A.M.Snack

Aldi vs. Walmart Price Comparison Item Store Price Price Per Unit Winner

Common Food Allergens

University Dining. Dinner. Breakfast. Lunch. Snack Choices: Chocolate pretzels Assorted fruit Yoplait yogurt

Baking Soda, Baking Powder, Yeast & Corn Starch. Raisins & Almonds (190g bag) Chocolate Chips - Semi Sweet & Milk Chocolate

SPACE STATION ASSEMBLY COMPLETE DAILY MENU PROPOSED FOOD LIST AS OF MARCH 1998

2017 CO+OP BASICS. (continued) YEAR-ROUND LOW PRICE

Glycemic Load of Selected Foods

Item Contains Peanuts Contains Tree Nuts Contains Milk Contains Soy Contains Wheat Contains Eggs Contains Fish Contains Shellfish CHO Count

2000 Calorie Menus Breakfast

14- Day Build Meal Plan

Catering Menus

GST BOCES. Nutritional Analysis

Blueberry Waffles (from frozen) with Whipped margarine Light Syrup 1% Milk Unsweetened Coffee or tea Water

Menu Plan Kiddie Academy of Bothell Week 1 (starting September 1 st 2015) Monday Tuesday Wednesday Thursday Friday

New U.S. Allergen Guide April 2019 ALLERGENS NUTRITIONAL INFORMATION

Common Food Allergens

Colquitt County Schools School Menu Nutrition Analysis

AM/PM SNACK FIVE LOAVES FOOD SERVICE 312 Bayview Ave. Inwood, NY (516)

UPMC Passavant-Cranberry Dining Menu Meal Service Times

Items served 7:00 a.m. to 8 p.m. except *items which are served 7:00 a.m to 10:00 a.m.

Country Biscuit Breakfast Sausage, Bacon OR Ham Biscuits Condiments on the Side. Add Cheese at $.30 Per Guest Add Egg to Biscuits at $1.

January Monday Tuesday Wednesday Thursday Friday

1 oz 1 ½ oz 2 oz BBQ Diced Chicken

Baking Soda, Baking Powder, Yeast & Corn Starch. Raisins, Chocolate Chips & Almonds (190g bag) Maraschino Cherries Pink Salmon

Palos Health ROOM SERVICE MENU DIAL 4130

BREAKFAST. (Minimum $200 for Delivery)

Breakfast. Keto cereal. Baby baker potatoes. Keto waffles. Bagels. Lemon poppyseed bread. Baked egg. Oat-M-G. Banana baked oatmeal.

Well More BREAKFAST MENU

WELCOME TO ROOM SERVICE DINING FOR OUR PATIENTS & THEIR GUESTS

Chartwells Catering Menu For Harrison Community Schools

14- Day Build Meal Plan

MONDAY: 10AM-9PM TUESDAY SUNDAY: 6AM-9PM

Five Star Room Service Dining

Weigh to Wellness. Weight Loss Meal Plan BREAKFAST MENUS. Menu 3. Menu 1. Menu 2. Menu 4

Sample Menu: 1200 Calorie Meal Plan

IMPACT LEARNING CENTER WEEKLY MENU

We strive to accommodate all our customers tastes and needs. This form will allow us to do this. Please complete for us.

15 Grams of Carbs Per Serving

Price Point List Updated on 11/1/12

New U.S. Allergen Guide October 2017 ALLERGENS NUTRITIONAL INFORMATION

Transcription:

(Internal Use) Shop Date: Unit: Arrival Date: Name: QUESTIONS? CALL: 866.992.0600 Phone Number:. In order to guarantee delivery, please submit this form no later than 72 hours prior to your arrival. Groceries will be delivered and stocked in your home by 4pm the day of your arrival. *Please note that a 20% service charge plus a $25 delivery fee will be added to your bill. Please be as specific as possible and inform us of any allergies or other details s Type Quantity Organic? Vegetables Type Quantity Organic? Apples Kale Pears Cabbage Grapes Bagged Salad Oranges Potatoes Lemons Onion Limes Garlic Grapefruit Bananas Strawberries Blueberries Herbs Fresh Dry Quantity Raspberries Basil Pineapple Rosemary Melon Thyme Cilantro Sage Chives Vegetables Type Quantity Organic? Oregano Bell Peppers Cucumber Zucchini Squash DELI Type Quantity Notes Broccoli *Please indicate; sliced, shredded, or block Corn Mozzarella Green Beans Cheddar Carrots Swiss Celery Provolone Mushrooms Parmesan Avocado American Tomatoes Pepper Jack Lettuce Spinach

Cooking Quantity Size Brand Type Condiments Quantity Size Brand Type *There is salt and pepper in your Porches home Ketchup Spices Mustard Spices Dijon Mustard Garlic Salt Honey Mustard Onion Salt Mayo Seasonings Steak Sauce Taco Seasoning BBQ Sauce Gravy Mix Marinade Olive Oil Pickle Slices Canola Oil Pickle Spears Coconut Oil Relish Corn Oil Green Olives Vegetable Oil Black Olives Croutons Ranch Italian Balsamic Baking Quantity Size Brand Type Blue Cheese Cane Sugar Brown Sugar Chocolate Chips Marshmallows Bread Quantity Size Brand Type Chopped Nuts *Please brand preference when possible Cocoa Powder Hamburger Buns Hot Chocolate Hotdog Buns Wheat Flour White Bread White Flour Wheat Bread Jell-O Mix Rye Bread Pudding Mix Gluten Free White Pie Filling Gluten Free misc Brownie Mix Sprouted Bread Cookie Mix Multigrain Bread Cake Mix PreCut Bagels Frosting English Muffins Sprinkles Soft Tortilla Wraps Cooking Spray

Pastas & Sauces Quantity Size Brand Type Breakfast Quantity Size Brand Type *Please indicate white or wheat pasta Rice Krispies Spaghetti Chex Angel Hair Loops Linguine Lucky Charms Elbow Cheerios Fettucine Frosted Flakes Penne Honey Bunches Rigatoni Raisin Bran Bow Tie Oatmeal Spaghetti Sauce Granola Pizza Sauce Pancake Mix Alfredo Sauce Syrup Mac & Cheese Honey Jam Jelly Peanut Butter Canned Goods Quantity Size Brand Type Pop-Tarts Baked Beans Ground Coffee Pinto Beans Whole Bean Black Beans Decaf Coffee Kidney Beans Vegetables Vegetables Frozen Food Quantity Size Brand Type Tomatoes Ice Cream Popsicles Pizza Corn Soup Quantity Size Brand Type Peas Tomato Broccoli Chicken Noodle Vegetables Chili French Fries Baked Potato Tater Tots Juice Waffles Pancakes

Meats Quantity Size Brand Cut/Type Snacks Quantity Size Brand Type Fish Potato Chips Shrimp Tortilla Chips Steak Cheetos Chicken Fritos Pork Chops Doritos Pork Ruffles Ground Beef Pringles Ground Bison Pretzels Ground Turkey Popcorn Ground Sausage Mixed Nuts Sausage Links Peanuts Bacon Cashews Prepackaged s Almonds Wheat Thins Triscuits Cheezits Beverages Quantity Size Brand Type Oreos Coke Chips Ahoy Diet Coke Snacks Sprite Dr. Pepper Pepsi Gatorade Paper Supplies Quantity Brand Type PowerAde *Toilet paper and paper towel are in your Porches home Bottled Tea Napkins Bottled Water Plates Drink Mixers Cups Tonic Water Plastic Wrap Soda Water Aluminum Foil Seltzer Water Ziploc Bags Punch Juice Sweet Tea Kombucha Juice Quantity Size Brand Type *Please indicate pulp level/juice % if needed Orange Juice Baby Items Quantity Brand Type Apple Juice *Please indicate infant size if necessary Grape Juice Wipes Cranberry Diapers Punch Pull-ups Lemonade Baby Food Sweet Tea Baby Snacks Arizona Tea Formula

Fun Foods Quantity Size Brand Type Personal Items Quantity Brand Type Biscuits *small shampoo, conditioner, lotion, & soaps in home Rolls Shampoo Crescents Conditioner Cinnamon Rolls Body Wash Cookie Dough Roll Bar Soap Pie Crust Face Wash Razor Toothpaste Dairy Quantity Size Brand Type *Please be as specific as possible about type/flavors where applicable Butter (tub) Liquor Quantity Size Brand Type Butter (sticks) Cabernet Eggs Pinot Noir Cream Cheese Merlot Large Yogurt Chardonnay Individual Yogurts Pinot Grigio Fat Free Milk Riesling 1% Milk Champagne 2% Milk Prosecco Soy Milk Coors Almond Milk Budweiser Half & Half Corona Coffee Creamer Stella Whipping Cream New Belgium Heavy Cream Vodka Reddi Whip Rum Cool Whip Tequila Cottage Cheese Whiskey Sour Cream Comments: