Fax Order Form - Pavlic Vending



Fax / E-Mail Order Form Fax to: 262-574-0999

Company Name: ____________________________ Your Name: _________________________ Today’s Date: _________

Address: __________________________________ P.O. Number: _________________________ Delivery Date: ________

Coffees

_____Intercontinental 1.25 oz.

_____Intercontinental 1.5 oz.

_____Intercontinental 1.75 oz

_____Intercontinental 2.25 oz.

_____Intercont’l Decafe 1.5 oz.

_____Mocosa 1.5 oz.

_____Mocosa 1.75 oz.

_____Mocosa 2.25 oz.

_____Col. Decafe 1.75 oz.

_____French Roast 1.5 oz.

_____French Roast 2 oz.

_____Northwest Blend

_____Costa Rican

_____Specialty Kona

_____Alterra Breakfast Blend

_____Alterra Favorite Blend

_____Alterra Blue Heeler Blend

_____Alterra Org. Fair Trade Mexican

_____Alterra Decafe

_____Stone Creek Cream City Blend

_____Stone Creek French Roast

_____Stone Creek Decafe

_____Seattle’s Best

_____Seattle’s Best Decafe

_____Starbucks House Blend

_____Starbucks House Decafe

_____Starbucks Breakfast Blend

_____Folgers

_____Folgers Decafe

_____Maxwell House Sp. Del.

_____Torke’

_____Torke’ Breakfast Blend

_____Eight O’Clock

_____Superior Royal Kona

_____Superior Kona Decafe

_____Flavored Variety

_____Hazelnut & Cream

_____French Vanilla

Creamers

_____Carnation Canister

_____Carnation Individuals 50 ct.

_____Carnation Lite Canister

_____Carnation Liquid Cups

_____Carnation Liquid Vanilla

_____Carnation Liquid Hazelnut

_____Carnation Liquid Amaretto

_____Grindstone Canister

_____Grindstone 900 Packets

_____Mini Moo’s Half N Half

Sweeteners

_____Sugar Canister 20 oz.

_____Sugar Packets 2000 ct.

_____Sweet N Low 400 ct.

_____Equal 500 ct.

_____Splenda 100 ct.

Teas

_____Lipton

_____Lipton Decafe

Bigelow Teas

_____Constant Comment

_____Lemon Lift

_____Cinnamon Stick

_____Plantation Mint

_____English Teatime

_____Earl Gray

_____Green Tea

Bigelow Herbal Teas

_____Raspberry Royal

_____I Love Lemon

_____Apple Orchard

_____Cranberry Apple

_____Orange Spice

_____Mint Medley

Hot Beverages

_____Swiss Miss Regular

_____Swiss Miss Mini Marsh.

_____Swiss Miss Sugar Free

_____Lipton Chicken Noodle

_____Lipton Beef Noodle

_____Lipton Cream of Chicken

_____Lipton Spring Vegetable

_____Lipton Hot Spiced Cider

Cups

_____8 oz. Styrofoam

_____10 oz. Styrofoam

_____12 oz. Styrofoam

_____16 oz. Styrofoam

_____8.25 oz. Paper 100 ct. tube

_____8.25 oz. Paper 2000 ct. case

_____12 oz. Paper 75 ct. tube

_____12 oz. Paper 1500 ct. case

Paper Products & Miscellaneous

_____Filters

_____Paper Towels

_____C-Fold Towels

_____Dispenser Napkins

_____Kitchen Napkins

_____Dinner Napkins

_____Paper Plates

_____6” Styrofoam Plates

_____9” Styrofoam Plates

_____Toilet Tissue

_____Plastic Knives

_____Plastic Forks

_____Plastic Spoons

_____Stir Sticks 1000 ct.

_____Squeak N Clean

Flavia Drinks

_____Breakfast Blend

_____House Blend De

_____House Blend

_____Costa Rica

_____Colombian

_____French Roast Decafe

_____French Roast

_____Espresso Roast

_____Sumatra

_____Intense Dark Roast

_____Fr. Vanilla

_____Hazelnut

_____Hazelnut Decafe

_____English Breakfast Tea

_____Earl Grey Tea

_____Green Tea w/Jasmine

_____Lemon Calm Tea

_____Dove Chocolate

_____Cappuccino Creamy Topping

_____Milky Way Swirl

Misc. Items, Soft Drinks & Juices

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