FORM 27-B/6

Interdepartmental Lunch Destination Proposal Request (L.D.P.R.)

Name *

Email Address *

Department *

Employee ID / Badge Color / Favorite Pasta Shape *

Date & Time of Proposal Submission (24-hour format only) *

Official Name of Establishment (as displayed on business license): *

Street Address (Include suite number and any confusing parking notes) *

Cuisine Type *

Average Price Range (USD) *

Justification Statement (Minimum 250 Words) *

Submit

Thank you!

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