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Henry Student Center • 570-408-4991 (T) • 570-408-4992 (F) • Contact Us
       
MEDALLION CATERING REQUEST FORM


You may also fax an order to 570-408-4992 or call us at 570-408-3992

Download/print a fax-friendly Request Form.

Date of event: Day:
Time Event Begins:
Time Event Ends:
Name of Department:
Contact Person:
Phone:
Fax:
Email:
Number of Guests:
Location of Event:
Budget # for Billing:
Flowers: Yes No China Dishes: Yes No

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