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Introducing the New - Pure Water Delivery - Complete Office Beverage System
Drop-N-Drink Beverage System Order Form print form and Fax to 816-628-0090
Coffees: all packs make 18 - 6oz servings ___Premium Blend.................................... 4.99 ___Premium Dark Roast (100% decaf) ....4.99 ___French Vanilla.....................................5.99 ___100% Sumatra....................................5.99 ___Premium Brewed Green Tea ...............4.39 ___Peach Tea............................................4.39	Juices: ___Diet Cranberry...................................5.79 ___Old Fashioned Lemonade..................5.79 Sports Drinks: ___Squincher Lite Orange........................4.39 ___Squincher Lite Fruit Punch..................4.39 ___Squincher Lite Lemon-Lime................4.39 ___Squincher Lite Grape............................4.39 ___Vitamin Fitness Water Mixed Berry....4.39
Contact information: Account Name:_____________________________________________ Address:__________________________________________________ City:__________________ State:______ Zip:_____________________ Phone:_____-_____-_____________ E-Mail Address:____________________________________________ Additional Cooler Request (15.25 per month):________________________