Breakfast Pre-Order Form

Breakfast Pre-Order Form

Use this form to order a grab and go breakfast from Clewell Dining Hall. Please select four items. 48 hours notice is required and we prefer that you pick up your breakfast the evening before you need it (due to hours of operation). Available pick up days are Monday, Wednesday & Friday. You are able to select breakfast for multiple days of the week as needed, please just indicate a quantity of each item to supply enough for multiple days. Questions? Email dining@moravian.edu.
Name*

First NameLast Name
Moravian Email*
example@example.com
Phone Number*
Please enter a valid phone number.
What is your student ID #? Each meal will be charged as a "swipe" to your account.*
Pick up Dates & Times

Please note that pickups are available Monday, Wednesday & Friday. You are able to select breakfast for multiple days, i.e. on Monday, pick up for Tuesday & Wednesday. On Wednesday, pick up for Thursday & Friday. On Friday, pickup for Saturday, Sunday or Monday.
Appointment*
I will be picking up breakfast for the following days at this date/time (select as many as apply):*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Pick a bread/cereal:*

	Muffin of the day	Plain Bagel	Everything Bagel	Cinnamon Raisin Bagel	Cereal with Milk
Write in your quantity of each (write 0 if none)

Any spreads for your breads?*

	Butter	Cream Cheese	Jelly
Write in your quantity of each (write 0 if none)

Pick a fruit option:*

	Mixed Fruit Cup	Whole Apple	Whole Orange	Whole Banana	Grape Cup
Write in your quantity of each (write 0 if none)

Pick a juice option:*

	Apple Juice	Orange Juice
Write in your quantity of each (write 0 if none)

Would you like vanilla yogurt as well*

	Yes, Yougurt.	No, thank you.
Write in your quantity of each (write 0 if none)

Pick up Dates & Times