PFFM & MDA Cookbook Info Page
Department Name ________________________________________________
Local #:_________________________________________________________
# Of Members in your local: ________________________________________
What would you like us to highlight about your local? (ex: what happens
when you’re late to dinner at your station, do you have a special connection with
a family we serve, do you have fun or interesting fact(s) about your local?)___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Photos: Include names of people in your photo(s): _______________________
________________________________________________________________________________________________________________________________
Cookbooks your department will commit to selling: ___________________
By signing below, you and your local agree to sell each cookbook for $10.00. You can
always get more cookbooks to sell from the MDA but once the cookbooks are in your possession, your local will be responsible for selling them all.
____________________ ____________________ __________
Print Name Signature Date
Please contribute one recipe from each category below:
Appetizers Chili
Main Course Desserts
Please e-mail or mail this information
before March 4, 2011
to Kelly Gunn at the MDA of Maine
Phone: 207-854-3749
E-Mail: kgunn@mdausa.org
Mail: 39 Mechanic St. Suite #1
Westbrook, ME 04092
Appetizer:
Name of appetizer: _____________________________________
Ingredients: (ex: ? cup sugar)
___________________ ___________________ __________________ ___________________ ___________________ __________________ ___________________ ___________________ __________________ ___________________ ___________________ __________________ ___________________ ___________________ __________________
Specific Directions: _______________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Main Dish:
Name of Main Dish: _____________________________________
Ingredients: (ex: ? cup sugar)
___________________ ___________________ __________________ ___________________ ___________________ __________________ ___________________ ___________________ __________________ ___________________ ___________________ __________________ ___________________ ___________________ __________________
Specific Directions: _______________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Chili:
Name of Chili: _____________________________________
Ingredients: (ex: ? cup sugar)
___________________ ___________________ __________________ ___________________ ___________________ __________________ ___________________ ___________________ __________________ ___________________ ___________________ __________________ ___________________ ___________________ __________________
Specific Directions: _______________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Dessert:
Name of Dessert: _____________________________________
Ingredients: (ex: ? cup sugar)
___________________ ___________________ __________________ ___________________ ___________________ __________________ ___________________ ___________________ __________________ ___________________ ___________________ __________________ ___________________ ___________________ __________________
Specific Directions: _______________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________