Make healthy eating a part of your meeting!  Use this form to help you give your meeting guests food and beverage choices they'll thank you for.  Heart healthier choices are identified by the heart shaped check boxes ().

Select healthy choices at least 50% of the time.  Try to include at least one healthy choice in each category.
 

Function/Event/Meeting: ______________________________________ Meeting  Date: ________________________ [ ] Delivery     [ ] Pick-up       Time: _______ Location:______________________________ Meeting Room:__________________________ Contact Name:_________________________ Telephone:_____________________________ Number of People Attending: _____________ Confirmation Date:______________________ Caterer:_______________________________ Contact Phone Number: _________________ Price Quoted:__________________________ Purchase Order Number: [_____________] Are there any known food allergies or dietary restrictions (fish, peanuts, vegetarian, Kosher, Diabetic, etc.)? [ ] Yes              [ ] No           [ ] Unknown If yes, specify: ______________________________________ (Ask caterer to provide list of ingredients.) Plates, cups, bowls, cutlery, serviettes to be provided by: [ ] Caterer         [ ] Meeting host

SALADS                              # Servings   Tossed Salad   Dressing on the side   Low-fat Dressing   Vegetable Tray   Dips made with low fat     yogurt/sour cream [ ] Dips made with sour      cream [ ]  Relish Tray [ ]  Other _______________ [     ] [     ] [     ] [     ] [     ] [     ] [     ] [     ] SANDWICHES                            Qty. Cheese <20% M.F. Light Cream Cheese Egg Vegetation Turkey [ ] Luncheon Meats Roast Beef Chicken Ham Tuna Salmon [ ]  Others Breads Whole Wheat Whole Grain Bagels [ ]  White [ ]  Other Bagels [      ] [      ] [      ] [      ] [      ] [      ] [      ] [      ] [      ] [      ] [      ]   [      ] [      ] [      ] [      ] Total Sandwiches    [_______] (Rule of thumb: count on three quarters to one sandwich per person)

 
 

MAIN DISHES/ENTREeS   Vegetarian Lasagna [ ] Meat Lasagna   Pasta with Tomato Sauce [ ] Pasta with Cream Sauce [ ] Other ______________ Total Main Dishes

# Servings [     ] [     ] [     ] [     ]   [___]

SOUPS Broth-style Soups     (eg. chicken noodle, beef,      barley, tomato) [ ] Cream-style Soups (eg. cream of mushroom) Total Soups

# Servings [     ]     [     ]   [____]

 
 

DESSERTS & SNACKS   Fruit     Whole [ ]   Salad [ ]  Tray   Yogurt (2% M.F. or less)   Muffins (lower fat)   Granola Bars (lower fat)   Cheese & Cracker Tray   Low Fat Pudding [ ] Squares [ ] Cookies [ ] Cake [ ] Other Total Desserts ___________________ EXTRA ITEMS _____________________ _____________________ _____________________ _____________________

# Servings [     ] [     ] [     ] [     ] [     ] [     ] [     ] [     ] [     ] [     ] [___]   # Servings [     ] [     ] [     ] [     ]

BEVERAGES Ice Water Milk (2% M.F. or less) Chocolate Milk       (2% M.F. or less) Juice (100%)       [ ] Individual bottles         [ ] Large bottles [ ] Pop [ ] Diet Pop [ ] Coffee [ ] Decaf [ ] Tea [ ] Herbal Tea Total Beverages [ ] Creamers    [____]   Milkettes    [_____] [ ] Sugar        [_____]   Sweetener  [_____] [ ] Other _______________

# Servings [     ] [     ] [     ] [     ] [     ] [     ] [     ] [     ] [     ] [     ] [     ]   [____]