CMS Menu College of Health Sciences CMS Lunch Order Form *CMS WILL BEGIN TAKING ORDERS ON JUNE 3RD* Orders must be placed by 9:30 am on the day of the order. Orders will be delivered at 11:30 am to the crash cart. Name(Required) First Last Email(Required) Phone(Required)Billing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Please select your total number of MEALS to be included in this order (if more than 8, please contact the cafeteria in advance):(Required) 1 2 3 4 5 6 7 8 Each order includes an entree, 2 sides, a starch, and a salad.Select order day(s)(Required) Monday Tuesday Wednesday Thursday Friday Add your entree selection(s) for Monday below:Add your entree selection(s) for Tuesday below:Add your entree selection(s) for Wednesday below:Add your entree selection(s) for Thursday below:Add your entree selection(s) for Friday below:Add your 2 sides (per order) for Monday below:Add your (2) sides (per order) for Tuesday below:Add your (2) sides (per order) for Wednesday below:Add your (2) sides (per order) for Thursday below:Add your (2) sides (per order) for Friday below:Would you like to add a starch? Yes No Add your starch selection(s) for Monday below:Add your starch selection(s) for Tuesday below:Add your starch selection(s) for Wednesday below:Add your starch selection(s) for Thursday below:Add your starch selection(s) for Friday below:Would you like to add a salad? Yes No Please list your salad selection(s) for Monday below:Select your salad dressing: Ranch Honey Mustard Italian Vinaigrette Caesar Please list your salad selection(s) for Tuesday below:Select your salad dressing: Ranch Honey Mustard Italian Vinaigrette Caesar Please list your salad selection(s) for Wednesday below:Select your salad dressing: Ranch Honey Mustard Italian Vinaigrette Caesar Please list your salad selection(s) for Thursday below:Select your salad dressing: Ranch Honey Mustard Italian Vinaigrette Caesar Please list your salad selection(s) for Friday below:Select your salad dressing: Ranch Honey Mustard Italian Vinaigrette Caesar Tax Price: $0.00 Total Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Skip back to main navigation
