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|DELIVERY INFORMATON |BEVERAGES |

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| |MENU ITEM |

|Delivery Date: |QTY |

| |INSTRUCTIONS |

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|Delivery Time: |ILLY Café |

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| |Please Select: |

|Company Name: |( Med. or ( Lrg. |

| |( reg. or ( decaf |

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| |Espresso ILLY |

|Contact Person Name: | |

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| |Please Select: |

| |( Med. or ( Lrg. |

|Direct Phone#: |( reg. or ( decaf |

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| |Cappuccino |

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|Phone Extension: | |

| |Please Select: |

| |( Med. or ( Lrg. |

| |( reg. or ( decaf |

|Address: | |

| |Café Latte |

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| |Please Select: |

| |( Med. or ( Lrg. |

|Floor/Suite/Apt: |( reg. or ( decaf |

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| |Mocha |

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|City: | |

| |Please Select: |

| |( Med. or ( Lrg. |

| |( reg. or ( decaf |

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|Zip: |Chocolate |

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| |Please Select: |

| |( Med. or ( Lrg. |

|PAYMENT INFORMATON |( Hot or ( Cold |

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| |Café Con Leche |

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|METHOD OF PAYMENT: (PLEASE SELECT) |Please Select: |

|CASH ≤ CHECK ≤ |( Medium or ( Large |

|VISA ≤ DISCOVER ≤ MC ≤ AMEX ≤ | |

| |Hot Tea |

|CREDIT CARD INFO: .............../…............/.............../…............ | |

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|EXP. DATE: ……………CVV code……….ZIP code…..……... | |

| |Iced Tea |

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|BREAKFAST HOURS: | |

|7:30 am to 11am (Monday to Friday) |Fresh Lemonade |

|9am to 2pm (Saturday) | |

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|LUNCH HOURS : | |

|11am to 3pm (Monday to Friday) |Soft Drink |

|9am to 2pm (Saturday) |(for multiple orders we will call you back) |

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|WE ALSO DO CATERING! |Please Select One: |

|(CHECK OUR CATERING SECTION) |( Coke ( D.Coke ( Pepsi |

| |( D.Pepsi ( Sprite ( Red Bull |

|WWW. |( Orangina ( Apple Cider |

|Thank you for your business ! | |

| |Fresh Orange Juice |

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| |Snapple |

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| |Please Select One: |

| |( Raspberry Ice Tea |

| |( Diet Peach ( Peach |

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| |Bottled Water |

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| |Please Select One: |

| |( Zephyrhills ( Perrier |

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|EGGS CORNER |BREAKFAST SPECIALS |

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|MENU ITEM |MENU ITEM |

|QTY |QTY |

|INSTRUCTIONS |INSTRUCTIONS |

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|2 Eggs Any Style |Eggs Platter |

|(for multiple orders we will call you back) |(for multiple orders we will call you back) |

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|Please Prepare Eggs: |Please Prepare Eggs: |

|( Scrambled ( Poached |( Scrambled ( Poached |

|( Over Easy ( Well |( Over Easy ( Well |

|( Over Medium |( Over Medium |

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|White Omelet |Please Select One Item: |

|W/ Ratatouille |( Ham ( Sausage ( Bacon |

| |( Swiss ( US Cheese |

| |( Cheddar |

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| |Pancake Platter |

|3-Cheese Omelet |(for multiple orders we will call you back) |

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|Western Omelet |Please Prepare Eggs: |

| |( Scrambled ( Poached |

| |( Over Easy ( Well |

| |( Over Medium |

|Greek Omelet | |

| |Please Select One Item: |

| |( Ham ( Sausage ( Bacon |

| |( Swiss ( US Cheese |

|Veggie Omelet |( Cheddar |

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| |Crêpe Platter |

| |(for multiple orders we will call you back) |

|Salmon Omelet | |

| |Please Prepare Eggs: |

| |( Scrambled ( Poached |

| |( Over Easy ( Well |

|Omelet Fermiere |( Over Medium |

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| |Please Select One Item: |

| |( Ham ( Sausage ( Bacon |

|Garden Omelet |( Swiss ( US Cheese |

| |( Cheddar |

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| |Paris Continental Breakfast |

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|BAKER’S CORNER |( Coffee or ( Tea |

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|MENU ITEM |2 Butter Milk Pancakes |

|QTY | |

|INSTRUCTIONS | |

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|Croissants |Old Fashion French Toast |

|(for multiple orders we will call you back) | |

| |Whipped Cream ( Yes ( No |

|Please Select: | |

|( Plain ( Chocolate |Oeuf Cocotte |

|( Almond | |

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|Chocolate/Almond | |

|Swirl |Oeuf Forestière |

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|French Baguette |Oeuf Fiorentina |

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|Raisin Bun |Oeuf Salmon |

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|Apricot Soleil | |

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|Brownie | |

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|Meringue | |

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|Turnover | |

|(for multiple orders we will call you back) | |

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|Please Select: | |

|( Apple ( Guava | |

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|Cookie | |

|(for multiple orders we will call you back) | |

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|Please Select: | |

|( Chocolate Chip | |

|( small or ( large | |

|( Oatmeal Raisin | |

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|BREAKFAST SANDWICHES | |

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|MENU ITEM | |

|QTY | |

|INSTRUCTIONS | |

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|Croissant | |

|With 2 Items | |

|(for multiple orders we will call you back) | |

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|Please Select Two Items: | |

|( Ham ( Sausage ( Bacon | |

|( Turkey ( Egg ( Swiss | |

|( US Cheese ( Cheddar | |

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|Croissant | |

|With 3 Items | |

|(for multiple orders we will call you back) | |

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|Please Select Three Items: | |

|( Ham ( Sausage ( Bacon | |

|( Turkey ( Egg ( Swiss | |

|( US Cheese ( Cheddar | |

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|Croissant | |

|With Ham & Brie | |

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|Salmon Toast | |

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|SANDWICHES |SAVORY CREPES |

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|MENU ITEM |MENU ITEM |

|QTY |QTY |

|INSTRUCTIONS |INSTRUCTIONS |

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|Parisian |Paris |

|(for multiple orders we will call you back) | |

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|( Ham or ( Turkey |Brittany |

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|Normandy |Italy |

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|Calabria |Riviera Veggie |

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|Orléans |Lyon |

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|Paysanne |Biarritz |

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|Portofino |California |

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|Monaco |Palermo |

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|Norway |Folies Bergeres |

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|Milano Veggie |Lido |

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|Tuscany | |

| |SALADS |

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| |MENU ITEM |

|Menage a 3 |QTY |

| |INSTRUCTIONS |

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| |Caesar Salad |

|San Remo |(for multiple orders we will call you back) |

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|Sacrebleu |Please Select One: |

| |( Plain ( w/ Chicken |

| |( w/Shrimp |

| |( w/Smoked Salmon |

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|PANINIS |Acropolis |

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|MENU ITEM | |

|QTY | |

|INSTRUCTIONS |Moulin Rouge |

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|Portobello Panini | |

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| |Romana |

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|Athens Panini | |

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| |Salad Du Chef |

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|Venice Panini | |

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| |Exotic Spinach |

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|Florence Panini | |

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| |Naples |

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|Napoli Panini | |

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| |Alaska |

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|HOT SUBS | |

| |Atlantic |

|MENU ITEM | |

|QTY | |

|INSTRUCTIONS | |

| |Notre Dame |

|Tuna Melted | |

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| |Corsica |

|Blackened Chicken | |

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| |Niçoise |

|Turkey “BLT” | |

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| |Festival |

|Formidable | |

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|Croissant Delice | |

| |DESSERTS & SWEET CREPES |

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| |MENU ITEM |

|Croque-Monsieur |QTY |

| |INSTRUCTIONS |

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| |Fruit Salad |

|Croque-Saumon | |

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| |Fruit Tart |

|Monte-Carlo | |

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| |Chocolate Mousse |

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|PARISIAN SPECIALS | |

|SPECIALS OF THE DAY & WRAPS | |

| |Tiramisu |

|MENU ITEM | |

|QTY | |

|INSTRUCTIONS | |

| |Sugar Crêpe |

|Quiche Lorraine | |

| |Whipped Cream ( Yes ( No |

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| |Strawberry Crepe |

|Quiche Florentine | |

| |Whipped Cream ( Yes ( No |

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| |Raspberry Crepe |

|Bouchee a la Reine | |

| |Whipped Cream ( Yes ( No |

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| |Banana Choc. Crepe |

|Assiette Parisienne | |

| |Whipped Cream ( Yes ( No |

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| |Apple Crepe |

|Soup Of The Day | |

|(limited availibility) |Whipped Cream ( Yes ( No |

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|Please Select: |Chocolate Crepe |

|( Medium or ( Large | |

| |Whipped Cream ( Yes ( No |

|Daily Special | |

|(limited availibity, we will call you back) |Nutella Crepe |

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| |Whipped Cream ( Yes ( No |

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|Wraps | |

|(for multiple orders we will call you back) | |

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|Please Select One: | |

|( Chicken Caesar | |

|( White Tuna Salad | |

|( Chicken Salad | |

|( Roast Beef | |

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DELIVERY FAX ORDER FORM

(For Delivery Only. Not Valid For Pick-Up)

FAX NUMBER: (561) 820-9282

1 HOUR MINIMUM FOR SAME DAY DELIVERY

To Ensure Order Accuracy All Orders Will Be Confirmed Via Phone by Paris Bakery.

Only After Phone Confirmation Will Fax Orders Be Processed.

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