UIC SIGNATURE CATERING E-mail/Fax Order Form

Please fax your order to us at 312-413-5617. BEVERAGES & SNACKS
While we request 10 business days notice for all catering orders, we can cater to your last-minute needs at an additional charge.
Name / Phone / Email Address
Department / Delivery Date / / / Fax#
Event Time / Pick-up Time / On-site Delivery Location
Circle Payment Method / Visa / Mastercard / American Express / Store Req Voucher / Cash
Credit Card/Security Code # / Exp. Date / /
BEVERAGES
Quantity / Description / Price per Unit / Sub-Total
Freshly Brewed Gourmet Bean Coffee / $23.10 per gallon / $
Freshly Brewed Gourmet Bean Decaf Coffee / $23.10 per gallon / $
Hot Chocolate prepared with 2% Milk (seasonal) / $18.95 per gallon / $
Hot Cocoa Packets / $1.60 each / $
Assorted Teas / $1.10 per bag / $
Hot Spiced Caramel Apple Cider (seasonal) / $23.10 per gallon / $
Iced Tea or Lemonade / $13.95 per gallon / $
Carafes of Fruit Juice / $8.45 per carafe / $
Assorted Can Sodas / $1.40 each / $
Bottled Water / $2.10 each / $
Bottled Juices / $2.00 each / $
Bottled Assorted Iced Tea / $2.10 each / $
Iced Water Service without food order (bottled water) / $2.10 each / $
SIGNATURE FLAVORED PUNCHES
Quantity / Description / Price per Unit / Sub-Total
Cranberry Pineapple / $19.95 per gallon / $
Cranberry Apple / $19.95 per gallon / $
Jamaican Rum / $19.95 per gallon / $
Sherbet / $19.95 per gallon / $
Honey Brandy Eggnog / $19.95 per gallon / $
Hot Buttered Cranberry / $19.95 per gallon / $
Orange Pineapple / $19.95 per gallon / $
SWEET SNACKS
Quantity / Description / Price per Unit / Sub-Total
Assorted Home Style Cookies / $13.25 per dozen / $
Freshly Baked Brownies / $21.00 per dozen / $
Finger Dessert Bars / $21.00 per dozen / $
Assorted Mini Desserts / $19.95 per dozen / $
Chocolate Dipped Strawberries / $31.50 per dozen / $
Tea Cookies / $9.45 per dozen / $
Petite Chocolate Brownies / $13.25 per dozen / $
SALTY SNACKS
Quantity / Description / Price per Unit / Sub-Total
Individual Bags of Pretzels & Potato Chips / $1.10 each / $
Mixed Nuts / $22.95 pound / $
Assorted Mints / $12.60 pound / $
Chips and Dip / $18.95 pound / $
Tortilla Chips and Salsa / $22.95 pound / $
Chex Mix / $17.95 per 2 lb. bag / $
Pretzels / $7.35 pound / $
SPECIALTY BREAKS
Quantity / Description / Price per Unit / Sub-Total
Chocoholic Break / $10.55 per person / $
Sweet and Salty / $8.35 per person / $
I’ll Diet Tomorrow / $10.55 per person / $
Ice Cream Social / $10.55 per person / $
Garden of Delight / $9.45 per person / $
CHINA CHARGE (additional rental costs may apply) / $2.00 minimum per person / $
Special Requests
SUB TOTAL $______
For Sodexo Use Only
Sales Tax
18% Service Charge
Order Total

Please allow a minimum of 10 business days notice when ordering.

Thank you for your order! Page 1 of 2