Wednesday Special Delivery Order Form All orders are due by 4 pm today for tomorrow’s meal delivery. Daily Deliveries will serve you for one day. Estimated delivery will be between 10 am – 3 pm. *Note: It is imperative to put your city with a quarantine location on the order form to ensure correct delivery. Wednesday Special Quarantine Meal Delivery First and Last Name * Quarantine Building/Hotel Name * Quarantine Building/Hotel Room Number * Date * Phone Number (In case, we questions about your order) * Passport ID (Please enter your 9 digit ID number) * Email * Do you have any of the following dietary restrictions? * No Dietary Restrictions Gluten Free Dairy Free Peanut/Tree Nut Free Vegetarian Vegan Do you have an allergen/dietary needs that are not addressed by this order form? * YES NO Dietary/Allergen Needs Please email hospitality@highpoint.edu to customize your menu to fit your dietary needs and do not use this form. Lunch Options Entree * Grilled and Roasted Bistro Steak with Herb Mashed Potato, Green Beans and Roasted Garlic Demi**This selection is made without nuts** Grilled Herb Marinated Chicken Breast, Roasted Red Potatoes, Mixed Seasonal Vegetables, Pomegranate-Balsamic Reduction**This selection is made without dairy, gluten, nuts & soy** Stuffed Italian Shells, Traditional Tomato Sauce, Mixed Seasonal Vegetables**This selection is made without nuts** Mirin Marinated Tofu, Jasmine Rice Pilaf, Mixed Seasonal Vegetables, Sweet-Soy Emulsion **This selection is vegan, made without dairy, eggs & gluten** Entree Salad with Grilled Chicken & Italian (spring mix, shredded carrots, tomatoes, cucumbers) **This selection is made without dairy, gluten, & nuts** Entree Salad with Grilled Chicken & Ranch (spring mix, shredded carrots, tomatoes, cucumbers) **This selection is made without gluten & nuts** Entree Salad with Italian (spring mix, shredded carrots, tomatoes, cucumbers) **This selection is made without dairy, gluten, & nuts** Entree Salad with Ranch (spring mix, shredded carrots, tomatoes, cucumbers) **This selection is made without gluten & nuts** No Lunch Entrée Needed Dinner Options Entree * Crab Stuffed Mahi-Mahi, Harissa Rice, Roasted- Cheddar Stuffed Baby Peppers, Chipotle-Mango Chutney ** This selection is made without gluten, nuts & soy** Herbed Seared Salmon, Truffled Cannellini Beans Puree, Artichoke Hearts, Haricot Vert, Lemon-Thyme Cream ** This selection is made without gluten, nuts & soy** London Broil, Roasted Rainbow Potatoes, Asparagus, Carrot Vichy, Natural Reduction ** This selection is made without dairy, gluten & nuts** Eggplant Trifle Bean Cassoulet, Curry Toasted Broccoli, Pickled Red Onion, Apricot Marmalade**This selection is vegan, made without dairy, eggs, gluten, nuts & soy** Entree Salad with Grilled Chicken & Italian (spring mix, shredded carrots, tomatoes, cucumbers) **This selection is made without dairy, gluten, & nuts** Entree Salad with Grilled Chicken & Ranch (spring mix, shredded carrots, tomatoes, cucumbers) **This selection is made without gluten & nuts** Entree Salad with Italian (spring mix, shredded carrots, tomatoes, cucumbers) **This selection is made without dairy, gluten, & nuts** Entree Salad with Ranch (spring mix, shredded carrots, tomatoes, cucumbers) **This selection is made without gluten & nuts** No Dinner Entrée Needed Breakfast for Day After Delivery * Bacon, Egg & Cheese Bagel Breakfast Sandwich with Egg White and Turkey Bacon **Gluten Free** Breakfast Sandwich **Vegan** Breakfast Sandwich No Breakfast Sandwich Needed Beverages (multiple drinks can be selected, please select only one Powerade flavor) Beverages Skim Milk Apple Juice 2 % Milk Orange Juice Chocolate Milk Coke Bottled Water Sprite Fruit Punch (Red) Powerade Diet Coke Mountain Berry Blast (Blue) Powerade List of Snacks and Breakfast Items You Will Receive with Your Delivery Oatmeal Cereal Kashi Bars Yogurt Cup Muffin Poptarts Sea Salt Chips Smart Food Popcorn Ritz Bitz Crackers Whole Fruit Chicken Noodle Soup **If you indicated allergies or dietary restrictions, you will receive a selection of an allergy-friendly snack bag.** If you are human, leave this field blank. Submit Δ
