COFFEE SELECTIONS



|AVI FOODSYSTEMS, INC. • OFFICE COFFEE ORDER FORM |

|FAX 585.719.9853 • Email AVIRochester@ |

|Company name XEROX | |Payment □ COD □ Check □ Credit Card |If paying with a |

|Customer number _______________________ | |Contact _________________________ |credit card, |

|Building number _______________________ | |Phone number _________________________ Email address |please call our |

|Department _______________________ | |_________________________ |customer service |

|Delivery location _______________________ | |Signature _________________________ |center at |

| | | |585.719.9620 |

| | | |directly with |

| | | |card number. |

| |

|HOT BEVERAGES |UNI|ORDER |

| |T | |

|Gourmet Blend – 1.5 oz. |42/case | | |Nestle Coffeemate – Regular |

|Folgers Coffee | |Coffeemate – French Vanilla 15 oz. |1 Canister | |

|Classic Roast – 0.9 oz. |42/| | |Coffeemate – |

| |cas| | |Hazelnut 15 |

| |e | | |oz. |

|Regular – 1.5 oz. |42/| | |Coffeemate – |

| |cas| | |Regular 11 oz.|

| |e | | | |

Donut Shop Blend – 2.0 oz. |20/Case | | |Equal Packets |1,200/Case | | |Variety Pack – 2.0 oz. |20/case | | |Sweet ‘N Low Packets |1,000/Bag | | |Dutch Choc Almond – 2.0 oz. |20/case | | |Sweet ‘N Low Packets |3,000/Case | | |Hazelnut Vanilla – 2.0 oz. |20/case | | |Splenda Packets |400/Bag | | |Irish Cream – 2.0 oz. |20/case | | |Splenda Packets |1,600/Case | | |European Dark Roast – 2.0 oz. |20/case | | |Sugar Packets |2,000/Box | | |Butter Pecan – 2.0 oz. |20/case | | |Sugar Canister – 20 oz. |1 Canister | | |Costa Rican Tarrazu - 2.0 oz. |20/case | | |Sugar Canister – 20 oz. |24/Case | | | | | | | | | | |Tea | | | |Keurig Machine Selections | | | |Lipton Tea Envelopes |100/Box | | |Diedrich - 100% Colombian |24/Box | | |Lipton Tea Envelopes |1,000/Case | | |Diedrich - French Roast |24/Box | | |Lipton Tea Envelopes (Decaf) |72/Box | | |Diedrich - French Vanilla Supreme |24/Box | | |Bigelow Tea – I Love Lemon |25/Box | | |Diedrich - Hazelnut |24/Box | | |Bigelow Tea – Orange Spice |25/Box | | |Diedrich - Sumatra |24/Box | | |Bigelow Tea – Earl Grey |25/Box | | |Diedrich - Donut Shop Blend |24/Box | | |Bigelow Tea – Constant Comment |25/Box | | |Diedrich - Swiss Chocolate Almond |24/Box | | |Bigelow Tea – Cranberry Apple |25/Box | | |Diedrich - 100% Colombian (Decaf.) |24/Box | | |Bigelow Tea – Mint Medley |25/Box | | |Diedrich - French Vanilla (Decaf.) |24/Box | | |Bigelow Tea – Raspberry Royale |25/Box | | |Diedrich - Hazelnut (Decaf.) |24/Box | | |Bigelow Tea Envelopes – Asst. |168/Case | | |Diedrich - Mudslide |24/Box | | | | | | |Diedrich - Hot Chocolate |24/Box | | |Nestle Cocoa | | | |Gloria Jean - Classic Reserve |24/Box | | |Regular Cocoa Packets |50/Box | | |Gloria Jean - Special Blend |24/Box | | |Sugar Free Cocoa Packets |30/Box | | |Gloria Jean - Earl Grey Tea |24/Box | | | | | | |Gloria Jean - Chamomile Tea Decaf. |24/Box | | |Cups, Lids and Supplies | | | |Gloria Jean - Peppermint Herbal Tea Decaf. |24/Box | | |10 oz. Styrofoam Cup |1,000/Case | | |Gloria Jean - Serenity Green Tea |24/Box | | |12 oz. Styrofoam Cup |1,000/Case | | | | | | |Lids – for 10 oz. Styrofoam Cup |1,000/Case | | |Stir Sticks (Plastic) |150/Box | | |Lids – for 12 oz. Styrofoam Cup |1,000/Case | | |Stir Sticks (Plastic) |10,800/Case | | |

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