Eureka College
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Enter Student/Staff ID
*
Please choose from the following
*
Commuter Student
Resident Student
Faculty Member
Meal Plans
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Block 30
$
180.00
Quantity
1
2
3
4
5
6
7
8
9
10
Block 10
$
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
10 Flex Dollars
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
20 Flex Dollars
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
50 Flex Dollars
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
100 Flex Dollars
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
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