Page Barteau Catering Breakfast Order Form

Company Name *

Contact Name *

Contact’s Phone *

Head Count (Minimum Order of 20) *

Whom May We Contact on Arrival *

Delivery Location Phone *

Date *

Time the Meal Will be Served* *

Email *

Delivery Address *

Address Line 1

Address Line 2

City

State

Zip Code

Menu Choices

Bottled water and soda include cups of ice and can be added for $2.00 each.

NOTE: Please tell us HOW MANY of each of these you would like:

Sprite, Coke, Diet Coke, Bottled Water

Tea, lemonade, and coffee can be ordered by the gallon at $20.00 per gallon.

NOTE: Please tell us HOW MANY GALLONS of each of these you would like:

Gallon of Lemonade, Gallon of Regular Coffee, Gallon of Decaffeinated Coffee, Gallon of Iced Tea

Special Instructions