Coffee & Pastry To-Go Order Form To place an order, please fill out the following information completely and submit your orders via phone (805.756.1958), E-mail ([email protected]), or bring to the Peets, in Poly Canyon Village. Please read the second side for important terms and conditions.

Name: Phone: E-mail: Ready by Date: Ready by Time: Select One: Pick-up or Delivery

Bldg/Room:

ORDER CARD – Fill out both sides completely. PEET’S-TO-GO (Serves 12, 12 oz cups) PRICE QTY Coffee, REG $ 17.00 Coffee, DECAF $ 17.00 Tea, HOT only $ 13.00 ½ CAMBROS (Serves 33-37, 12 oz cups) Coffee, REG $ 53.00 Coffee, DECAF $ 53.00 Tea, HOT or ICED $ 40.00 FULL CAMBRO (serves 65-70, 12oz cups) Coffee, REG $ 90.00 Coffee, DECAF $ 90.00 Tea, HOT or ICED $ 67.00 ARTISAN PASTRIES PRICE QTY Oat Blueberry Muffin $ 2.40 Almond Raspberry Muffin $ 2.40 Low Fat Mixed Berry Muffin $ 2.40 Lemon Blueberry Muffin $ 2.40 Lemon Poppy-seed Muffin $ 2.40 Honey Bran Muffin $ 2.40 Plain Croissant $ 2.65 Almond Croissant $ 2.90 Chocolate Croissant $ 2.90 Ham & Cheese Croissant $ 3.30 Spinach & Feta Croissant $ 3.30 Old Fashion Danish $ 2.55 Cheese Danish $ 2.55 Fruit Danish $ 2.90 Bear Claw $ 2.55 Monkey Bread $ 2.55 Cinnamon Roll $ 2.55 Raspberry Scone $ 2.40 Blueberry Scone $ 2.40 Vanilla Scone $ 2.40 Maple Oat Nut Scone $ 2.40 Strawberry Whole Wheat Scone $ 2.40 Brownie $ 2.50 Lemon Bar $ 2.50 Chocolate Chip Cookie $ 1.90 Swedish Dream Vegan Cookie $ 1.90 All orders must be paid for, in full, 48 hours prior to the scheduled event’s date and time. Cancellations must be made 48 hours prior to the scheduled event’s date and time. Cancellations made later, then the above stated time frame, will be subject to a fee of the total order, due to product waste. Coffee & Tea orders come with cups, lids, stir sticks, napkins, sugars and cream. Additional milks (and milk substitutes) will be charged accordingly, and will not be supplied unless specified. www.calpolydining.com/peetscoffeeandtea 805.756.1958 Located in Poly Canyon Village Plaza