Electric Eats Request Form

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First Name*

Last Name*

Email*

Phone Number*

Department or Organization

Event Name*

Event Date*

Start Time

:

End Time

:

Service Requested*

Dietary Needs and/or Restrictions

Are you interested in specialty local and sustainable vegetarian and vegan food and drink items?*

Alcohol Service*

Who will be the onsite contact?*

Phone Number*

Attach Event Timeline

Max. file size: 10 MB.

Payment Type (select one)*

Who should be receiving the bill?*

Email*

Please list your Funding String #*

_ _ _ _ _ _ - _ _ _ - _ - _ _ _ _ _ _ _ - _ _ _ _ Dept Fund Prog Project Acct

Location*

Estimated Number of Guests

Menu/Event Details*