STUDENT CENTER MEAL CARD REQUEST FORM

Student Center Meal Card Request Form is to be completed by individuals/departments needing meal cards for an event, camp, or conference.

Details need to be finalized prior to completing this form.

Student Center's Meal Card Policy

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* 1. Student Center Meal Cards

Meal Cards available:

Guarantee Meal Cards

Overset Meal Cards

Inclining Balance Meal Cards

Read the Meal Card Policy to determine which Meal Cards are best for your event, camp, or conference.

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Additional Information:

Meal Card Policy is available here.

Meal cards have a 10-calendar day MINIMUM advance notice requirement.

Customers should provide a timeline of when meal cards will be used (i.e., breakfast at 7:00am, lunch at 12:00pm, etc.). This will help us prepare our staff so that lines may move faster.

Some customers may qualify for tax exempt status. If you think you may, please ask!

Meal cards are only redeemable in the Student Center. They may not be used at any other businesses or University Housing dining facilities.

I have read the above information on meal cards. I know what meal cards I am asking for.

I still have questions. I'll email studentcenterscheduling@siu.edu

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* 2. Requestor Name (First and Last):

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* 3. Email Address:

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* 4. Phone Number:

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* 5. Requesting Organization:

Registered Student Organization (RSO)

University Department

Off-Campus Organization

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* 6. Name of Organization/Department:

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* 7. Name of Event, Camp or Conference:

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* 8. Form of Payment (Check all that apply):

Check (Off-campus organizations & individuals only)

Cash (Off-campus organizations & individuals only)

Card Card (Off-campus organizations & individuals only)

RSO (Payment from on-campus RSO account through the Office of Student Engagement)

Grant (Payment through an on-campus grant)

Foundation Account (Payment through an SIU Foundation account)

Working with SIU Events & Outreach

Budget Purpose Number & Fiscal Officer (University Departments)

If University Department, provide BP# & fiscal officer name. If funding is coming from SIU Events and Outreach, please make note of that below.

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* 9. Dates & days of the week meal cards will be used

Examples:
Monday, August 1 - Friday, August 5

Monday, September 1 - Friday, September 30 (Mondays-Fridays Only)

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* 10. What meals will be provided on the cards?

Breakfast

Lunch

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* 11. How many meal cards do you need?

If none are needed, put "0".

Guarantee Meal Cards

Overset Meal Cards

Inclining Balance Meal Card

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* 12. How much money will be put on each meal card per day?
*If the monetary amount is different per day, please list the day of the week & monetary amount below.

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* 13. Desired date & time of meal card(s) pickup
*Meal Card pickups are available Monday-Friday, 8:30am-4pm in the Student Center Administrative Office.

Date / Time

Date

Time

AM/PM

STUDENT CENTER MEAL CARD REQUEST FORM

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* 2. Requestor Name (First and Last):

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* 3. Email Address:

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* 4. Phone Number:

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* 5. Requesting Organization:

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* 6. Name of Organization/Department:

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* 7. Name of Event, Camp or Conference:

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* 8. Form of Payment (Check all that apply):

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* 9. Dates & days of the week meal cards will be usedExamples: Monday, August 1 - Friday, August 5Monday, September 1 - Friday, September 30 (Mondays-Fridays Only)

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* 10. What meals will be provided on the cards?

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* 11. How many meal cards do you need?If none are needed, put "0".

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* 12. How much money will be put on each meal card per day?*If the monetary amount is different per day, please list the day of the week & monetary amount below.

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* 13. Desired date & time of meal card(s) pickup*Meal Card pickups are available Monday-Friday, 8:30am-4pm in the Student Center Administrative Office.

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* 14. Please provide any additional information regarding the meal cards.

* 9. Dates & days of the week meal cards will be used

Examples:
Monday, August 1 - Friday, August 5

Monday, September 1 - Friday, September 30 (Mondays-Fridays Only)

* 11. How many meal cards do you need?

If none are needed, put "0".

* 12. How much money will be put on each meal card per day?
*If the monetary amount is different per day, please list the day of the week & monetary amount below.

* 13. Desired date & time of meal card(s) pickup
*Meal Card pickups are available Monday-Friday, 8:30am-4pm in the Student Center Administrative Office.