PC Perk Order Form
THIS WEEK's SNACKS:  Apple w/ peanut butter / Protein Balls / GF Better Than Starbucks Lemon Bread / Chocolate Chip Muffin
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Email *
Name *
Room number 1st hour (8:00-8:45am) *
Room number 2nd hour (8:45-9:30) *
 Hot Coffee $1.75
Hot Tea $1.75
Hot Herbal Tea $1.75
Hot Apple Cider $1.75
Hot Chocolate $1.75
Cappuccino $1.75
Iced Coffee $1.75
Iced Tea $1.75
Lemonade $1.75
Smoothie $2.50
Extras (Free)
Snack order $1.50
Drink Punch Card $17.50  ***does not include smoothies
Smoothie Punch Card $25.00
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Snack Punch Card $15.00 
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Total number of items ordered
Comments (i.e. number of sugars, creamers, special instructions, etc.)
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