PC Perk Order Form
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Email address
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Your email
Name
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Your answer
Room number 1st hour (8:00-8:50)
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Your answer
Room number 2nd hour (8:50-9:35)
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Your answer
Hot Coffee $1.50
Regular
Decaffeinated
Hot Tea $1.50
Earl Grey
Constant Comment
Lemon Lift
Vanilla Chai
Plantation Mint
English Teatime
Lipton (regular)
Hot Herbal Tea $1.50
Mint Medley
Cozy Chamomile
Lemon Ginger
Perfect Peach
Orange & Spice
Sweet Dreams
Hot Apple Cider $1.50
Apple Cider
Hot Chocolate $1.50
Regular
Cappuccino $1.50
French Vanilla
Salted Caramel
S'mores
Caramel Apple
White Chocolate Caramel
Chocolate Raspberry
Iced Coffee $1.50
Regular coffee
Butterscotch
French Vanilla
Sugar Free French Vanilla
Salted Caramel Chocolate
Seasonal Favorite - Pumpkin Spice
Hazelnut
Cafe Mocha
Snickers Creamer
Irish Crème ***NEW*** Special Price $1.00
Iced Tea $1.50
Lipton (regular)
Other kind of tea (please specify kind in comments section)
Lemonade $1.50
Regular
Smoothie $1.50
Fruit Smoothie
Chocolate Peanut Butter Smoothie
Extras (Free)
Butterscotch Creamer
French Vanilla Creamer
Sugar-Free French Vanilla Creamer
Salted Caramel Chocolate Creamer
Seasonal Favorite - Pumpkin Spice Creamer
Hazelnut Creamer
Cafe Mocha Creamer
Snickers Creamer
Irish Crème ***Any drink ordered with this creamer - Special Price $1.00
Sugar
Honey
Truvia (Stevia)
Snack order $1.00
Lemon Crinkle Cookie
GF Chocolate Chip Banana Bread
Peanut Butter Chocolate Chip Protein Balls
Apple with Peanut Butter
Apple with Caramel Dip
Drink Punch Card $15.00
PC Perk Drink Punch Card ($15 for 10 beverages)
Snack Punch Card $10.00
PC Perk Snack Punch Card ($10 for 10 snacks)
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Total number of items ordered
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Comments (i.e. number of sugars, creamers, special instructions, etc.)
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