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Frederick Community College Dining Services Department
Invoice Charge Authorization Form
Please complete and submit the following request at least 24 hours prior to your event.
Invoice Number:
(Dining Services use only):
Contact Person:
Phone Number of Contact Person:
Email of Contact Person:
Event Date:
Calendar
Event Time:
Area of Charge:
Cougar Grille Charge
Smooth Joe's Charge
Cougar Grill and/or Smooth Joe's Charge
Approximate Number of People in Group:
Please Provide Account Code:
Department/Office or Group Name:
Person Whom Invoice is to be Sent:
Box Number:
Please choose charge method you will be using for this group:
You will provide a list of names that are authorized to charge for this event in box below
A coupon will be provided by you or dining services
The customer will give the cashier the name of the group to which their meal should be charged when they come through the line
List of Names authorized to charge event (if applicable):
Authorized by:
Please list any additional information: