Urbandale HyVee Catering Order Form
(515) 270-2572

Date of Event	Time of Event AM PM
Day of the Week	Number of People
Choose One Delivery Pickup	Delivery Address If different from Billing Address
Type of Event Other	Company Name
Contact Person Billing Address City State Zip	E-mail Phone Business Home Fax

Menu Selection (Main Dish, Side Dish, Dessert, Beverage, etc.)

Plates Bowls Cups KFS Napkins Serving Spoons
Tongs Spatulas Salt & Pepper Coffee Supplies

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