Customer Information. Mill Creek Brand Coffee. Mill Creek Brand Fractional Pack Coffee. Mill Creek Brand Flavored Coffee

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General Order Form Please complete this form and email it back to info@millcreekcoffeeco.com Fax: 814-453-2102 Phone: 814-453-3192 Email: info@millcreekcoffeeco.com Customer Information Company Name: Contact Person: Address: Phone Number: Order Date: Delivery Date: Mill Creek Brand Coffee Mill Creek Brand Fractional Pack Coffee Private Reserve 3625 Private Reserve 1.5 oz. / 36 Ct. 1236 1.25 oz. / 36 Ct. 3620 2.0 oz. / 36 Ct. 6896 1.25 oz. / 96 Ct. Classic Limberlost 6950 1.5 oz. / 96 Ct. 6836 1.75 oz. / 36 Ct. Classic Limberlost 6915 1.75 oz. / 96 Ct. 6875 1.75 oz. / 96 Ct. Firebrand 1736 2.25 oz. / 36 Ct. 1901 2.0 oz. / 96 Ct. Brazilian Arabica 6941 1.75 oz. / 36 Ct. 6236 2.25 oz. / 36 Ct. Select Blend 6336 1.5 oz. / 36 Ct. 1175 1.75 oz. / 20 Ct. Summer Blend (Seasonal) 6761 1.5 oz. / 20 Ct. 6780 1.75 oz. / 96 Ct. Savanna Blend 6736 1.75 oz. / 36 Ct. 1220 2.0 oz. / 20 Ct. Gemini Blend 6881 6.0 oz. / 48 Ct. 1720 2.5 oz. / 20 Ct. Gemini Blend Decaf 6882 7.0 oz. / 48 Ct. 6781 2.5 oz. / 75 Ct. Mill Creek Brand Flavored Coffee Caramel Nut Biscotti Chocolate Macadamia Cinnamon Hazelnut Coconut Crème Brule 6975 6977 6972 6971 6988 Kahlua Cream Maple Cinnamon Pumpkin Spice Rain Forest Nut Southern Pecan 6911 6976 6985 6987 6990

English Toffee Hazelnut Holiday Blend 6931 6973 6986 6978 Sticky Buns Sugar Cookie Toasted Almond Assorted Flavors 6993 6991 6983 6992 Mill Creek Coffee- Product Order Form Mill Creek Brand Liquid Coffee Black Cold Brew Concentrate Black Cold Brew Concentrate Latte Cold Brew Concentrate Latte Cold Brew Concentrate 6244 6242 6247 6245 8 oz. / 1 Ct. House Blend Dark Roast 8 oz. / 20 Ct. House Blend Dark Roast Decaf 6209 6227 1/2 Gal. / 2 Ct. 1/2 Gal. / 2 Ct. 8 oz. / 1 Ct. 8 oz. / 20 Ct. Ground Coffee Green Mountain Coffee Pre-Measured Packets Breakfast Blend 1603 Caramel Vanilla Cream 2.2 oz. / Island Coconut (Seasonal) 1693 1680 Nantucket Blend 1631 Colombian Supreme Popayan 1613 2.2 oz. / Our Blend 1643 2.2 oz. / Colombian Supreme Decaf 1672 Pumpkin Spice (Seasonal) 1695 Dark Magic 1660 Rain Forest Nut 1686 Cinnamon Sugar Cookie (Seasonal) 1687 Southern Pecan 1689 Hazelnut Decaf 1696 Wild Mountain Blueberry 1685 Toasted Marshmallow Mocha (Seasonal) 1694 Starbucks Portion Packs Breakfast Blend 6273 2.5 oz. / House Blend 6271 2.5 oz. /

Caribou Coffee Decaf Seattle's Best Level 3 Seattle's Best Level 3 Decaf Folgers Classic Roast 1411 1301 1302 1511 2.5 oz. / Maxwell House Master Blend 1.75 oz. / 42 Ct. Maxwell House MB Decaf 1.75 oz. / 42 Ct. Maxwell House Special Delivery.09 oz. / 40 Ct. Maxwell House SD Decaf 1361 1461 1331 1341 1.1 oz. / 42 Ct. 1.1 oz. / 42 Ct. 1.2 oz. / 42 Ct. 1.3 oz. / 42 Ct. Whole Bean Coffee Mill Creek Brand Whole Bean Coffee Firebrand 6462 Excelso Mill Creek House Blend 6002 6504 Mill Creek House Blend 6103 5 lb. / 3 Ct. Excelso 6505 5 lb. / 3 Ct. Organic Mexican Fair Trade 6775 6412 Organic Mexican Fair Trade 6771 5 lb. / 2 Ct. 6411 5 lb. / 2 Ct. Espresso 6752 2. Espresso Decaf 6592 2. Pods Baronet Coffee Pods 1711 Hazelnut 1749 1741 Fair Trade Organic French Roast 1759 Chocolate Babka 1759 Fair Trade Organic Small Village 1756 Crème Brule 1774 1747 Dark Kenya AA 1737 Sumatra 1742 Donut Shop 1723 Tanzanian Peaberry 1751 Estate Costa Rican (Limited Edition) 1750 Cinnamon Hazelnut 1748

Terra Leaf Tea Pods from Baronet Coffee English Breakfast 1701 1703 Black Tea Citron Green Tea Bigelow Tea Individual Teabags Green Tea Green Tea 7564 American Breakfast 7540 Green Tea 7512 60 Ct. Cinnamon Stick 7544 Green Tea Decaf 7579 Constant Comment 7545 Green Tea with Lemon 7565 Darjeeling 7548 Jasmine Green Tea 7567 Earl Grey 7549 Earl Grey Decaf 7581 20 Ct. Cinnamon Apple 7543 English Teatime 7560 Cozy Chamomile 7546 English Teatime Decaf 7578 Cranberry Apple 7547 7563 I Love Lemon 7566 Lemon Lift 7568 Lemon Ginger 7570 Plantation Mint 7574 Mint Medley 7569 Raspberry Royal 7575 Orange Spice 7571 Vanilla Chai 7577 Sweet Dreams 7580 Tahitian Breeze 7576 Herb Tea Lipton Tea Natural Black Tea 7482 Natural Black Tea Decaf 7472 72 Ct. Novus Tea

Herbal Tea Citrus Chamomile Classic Mint Herbal Lemon Ginger Oolong Tea Traditional Oolong 7670 7671 7686 7684 Green Tea Jasmine Green Tea Black Tea English Breakfast Sapphire Earl Grey 7670 7674 7679 Extras Flavored Syrups Flavor Caramel 7449 Caramel - Sugar Free Flavor Irish Cream 7463 7474 Raspberry 7467 Hazelnut 7460 Vanilla 7470 Hazelnut - Sugar Free 7475 Vanilla - Sugar Free 7478 Hot Cocoa Nestle Rich Chocolate Nestle No Sugar Added 3502 3552 Swiss Miss with Marshmallows Swiss Miss No Sugar Added 3512 3522 Cappuccino Mix Almond Joy 7342 Peanut Butter Cup 7356 Chai Tea 7370 Pumpkin Spice 7346 English Toffee 7343 White Chocolate Caramel 7359 7353 York Peppermint Patty 7344 - Fat Free 7354 Nestle Hot Chocolate Whipper Mix 8508 2 lb. / Cookies and Cream 7345

Nissin Ramen Noodle Soup / Popcorn / Quaker Oats Chicken Ramen Noodles 3202 Spicy Chicken Ramen Noodles Act II Butter Popcorn 7722 36 Ct. 3202 Quaker Instant Oatmeal Cups Apple Cinnamon 3215 Beef Ramen Noodles 3202 Quaker Instant Oatmeal Cups Maple Brown Sugar 3215 Shrimp Ramen Noodles 3202 Juice and Bottled Water Veryfine 100% Apple Juice Veryfine 100% Orange Juice Veryfine 100% Apple Cranberry Welch's 100% Apple Juice Welch's 100% Grape Juice 5501 5504 5505 5561 5564 11.5 oz. / 24 Ct. Welch's Cranberry Juice 11.5 oz. / 24 Ct. Crystal Light Lemonade 11.5 oz. / 24 Ct. Crystal Light Iced Tea 5.5 oz. / 48 Ct. Crystal Light Raspberry Lemonade 5.5 oz. / 48 Ct. Nirvana Natural Spring Water 5562 3352 3352 3352 5201 5.5 oz. / 48 Ct. 24 oz. / 24 Ct. Creamers and Sweeteners Canisters Creamer 2102 12 oz. / 1 Ct. Sugar 2202 12 oz. / 1 Ct. Sugar and Sweeteners Sugar Packets Equal Sweetener Equal Sweetener Splenda Sweetener Splenda Sweetener Splenda Sweetener Sweel N' Low Sweetener 7201 3482 7271 3472 3452 7241 3462 Grindstone Sweetener (Pink) Grindstone Sweetener (Pink) Grindstone Sweetener (Yellow) Grindstone Sweetener (Yellow) Grindstone Sweetener (Blue) Grindstone Sweetener (Blue) Kraft Honey Packets 3464 7252 3454 7242 3484 7272 7341 204 Ct.

Sweel N' Low Sweetener 7251 Coffee-Mate Powder and Liquid Cuplets Original Flavor - Powder Original Flavor Lite - Powder Original Flavor - Liquid Original Flavor - Liquid - Powder Sugar Free - Powder - Liquid Chocolate Chip Cookie Dough- Liquid 2152 2272 7103 7161 2252 2262 7191 7133 11 oz. / 1 Ct. Hazelnut - Powder 11 oz. / 1 Ct. Hazelnut - Liquid Café Mocha - Liquid 360 Ct. Irish Cream - Liquid 15 oz. / 1 Ct. Italian Sweet Cream - Liquid 10.2 oz. / 1 Ct. Vanilla Caramel - Liquid Salted Caramel- Liquid 2251 7182 7171 7183 7131 7141 7132 15 oz. / 1 Ct. International Delight Liquid Creamer Cuplets 7181 Half & Half 7121 288 Ct. Half & Half 7163 384 Ct. 180 Ct. Hazelnut 7151 288 Ct. Cups, Lids and Stir Stix Cups 4151 8 oz. / 4231 20 oz. / 500 Ct. 4201 10 oz. / 4811 24 oz. / 500 Ct. 4251 12 oz. / Perfect Touch Cups 4861 8 oz. / 4214 14 oz. / Perfect Touch Cups 4611 12 oz. / 4281 16 oz. / Perfect Touch Cups 4881 16 oz. / 4291 20 oz. / Perfect Touch Cups 4621 20 oz. / 500 Ct. 4224 24 oz. / Soho Paper Hot Cup 4221 20 oz. / 500 Ct. Paper Cold Cups 4248 5 oz. / 2,500 Ct. Green Mountain Paper Hot Cups 3766 12 oz. / Translucent Cold Cups 4247 7 oz. / 2,500 Ct. Green Mountain Paper Hot Cups 3768 16 oz. / Translucent Cold Cups 4246 7 oz. / 5 Sleeves Green Mountain Paper Hot Cups 3772 20 oz. / 800 Ct. 4808 8 oz. / Green Mountain Plastic Cold Cups 3878 24 oz. / 600 Ct.

4831 12 oz. / Poly Paper Cups Printed 4272 16 oz. / 1,000 Ct. 4841 16 oz. / Poly Paper Cups Printed 4271 12 oz. / 1,000 Ct. Poly Paper Cups Printed 4273 4 oz. / 1,000 Ct. Cold Cup Translucent 4241 12 oz. / 1,000 Ct. Lids and Stir Stix Lids FTL Lift N Lock 4601 Lids FTL Lift N Lock 8 oz. / Dome Lids - White 4941 16 oz. / 4651 10 oz. / Soho Tear Tab Lids 4761 Fits Multiple s Lids FTL Lift N Lock 4701 12 oz. / Green Mountain Dome Hot Lids 3783 Fits GM/PT/Solo Lids FTL Lift N Lock 4421 16 oz. / Green Mountain Flat Plastic Lids 3877 Fits GM/PT/Solo Perfect Touch Dome Lids 4871 8 oz. / Cold Dome with Hole Lids 4250 Perfect Touch Dome Lids 4631 20 oz. / 500 Ct. Cold Straw Slot Lids 4259 Dome Lids 4930 8 oz. / Plastic Stir Stix 9542 5 in. / Dome Lids 4931 12 oz. / Plastic Stir Stix 9424 6.5 in. / Napkins 9252 500 Ct. 4-Cup Beverage Tray 9531 75 Ct. White Plastic Forks 9421 Hot Cup Sleeves 9571 White Plastic Knives 9422 Trash Bags - 30 Gallon 9451 White Plastic Spoons 9423 Trash Bags - 55 Gallon 9431 Heavyweight Fork 9424 Pastry Bags 9282 1000 Ct. Heavyweight Knife 9425 Coffee Filters 9973 12 Cup / Heavyweight Spoon 9426 Carafe on the go (96 oz. disposable container) 9550 Flex Straws 9291 Carafes on the go (96 oz. disposable container) 9552 Bath Tissue (2 Ply) 9101 96 Ct. Case Household Paper Towels (2 Ply) 9221 Case Multifold Towels 9331 16 X 2 9 Styrofoam Plates 9429 Sleeve of 125 9 Styrofoam Plates 9430 Case of 500 Paper Products 1 Ct. 16 Ct. Case