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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