First name *

Last name *

I am a ... * Select an optionStudentFaculty/Staff Member

SAU ID Number *

Email address *

Is this your first time utilizing the Mulerider Market? *YesNo

What age group is this order supplying? *0 - 1819 - 2425 - 5960 & Older

Is this order going towards feeding a family or individual? *FamilyIndividual

What is your ethnicity? *American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslanderWhite

Disclaimer: We ask for demographic information on the Mulerider Market order form to fulfill reporting requirements and ensure grant funding. This information helps us demonstrate the impact of our services and secure resources needed to keep supporting our community. Your responses are confidential and used solely for these purposes.