Orange County Community College 
Food Services 
115 South Street 
Middletown, New York 10940 
Phone: (845) 341-4862 Fax: (845) 341-4359 
 
 
 
 
TODAY�S DATE:   
 

Organization: 
 College
         Non-College
 

Type of Event: 
 

Event Date(s) & Time(s):
 

Location/Building: 
 ROOM: 
 
Food for How Many? 
 

Please note any special requests below:  
 
 
 
 
 


___________________________________________________________ will see/contact you on details. 

  (Name and phone number) 
 
 
The person(s) below will be responsible for payment of services: 
 
Name:  
    _ 

Address:  
_ 

Phone Number(s): 
 

Please forward completed forms to:  Robert Glohs 
      Director of Dining Services 
      (Address listed above) 
 
          Or fax to:  (845) 341-4359 
 
    Any questions, Please Call:   (845) 341-4862 
 
 
 
 *****PLEASE NOTE*****
 
Should the college be closed due to inclement weather on the  
day of event,  the event will be cancelled.   
Most up to date closing information can be found on our website at  
www.sunyorange.edu 
Food Service Request Form 
 
 Event Date: