FAX ORDER FORM ** THREE HOURS NOTICE REQUIRED**

$ 30.00 MINIMUM FOR LOCAL AREAS DELIVERIES ONLY

DELIVERY DATE:________/_______/____ MON - TUE - WED - THU - FRI --- TIME___________AM / PM

Company Name:___________________________________________________________________________

Contact Person:_______________________________Phone Number (_______)_______________Ext_______

Address:___________________________________________________________________Suite # ________

City :_________________________________ E-mail :_____________________________________________

Major Cross Streets: _____________________________Special Delivery Instructions: ____________________

_________________________________________________________________________________________

Payment: Cash or Credit Card #_____________-___________-__________-__________ Exp._______-_______

Name on Card:_________________________________ C V V #__________Billing Zip Code_______________

Your Name
#
Type of Bread, Any Special Instructions
Drink
Cookie
Chips
           
           
           
           
           
           
           
           
           
Please fax your order in 3 hours in advance ( Large orders - 24 hours in advance )
6277 East Spring Street, Long Beach, CA 90808 - Spring St. & Palo Verde
Phone (562) 429-5661 - (562) 420-8511 - Fax (562)429-5779 We Do Not Deliver on Weekends