* Name

* Palmetto Health Dept. Name

* Palmetto Health Dept. #

* Address & Floor #

* Phone Number

Case(s) of Calypso 100% Colombian Coffee
(1 case makes 40 pots) ::

Case(s) of Decadent Decaf Coffee
(1 case makes 40 pots) ::

Canister(s) of Beanhead Canister Creamer
(12 oz Canister) ::

Box(es) of Individual Creamer Packets
(1 box = 1000 ct) ::

Canister(s) of Beanhead Canister Sugar
(20 oz Canister) ::

Box(es) of Individual Sugar Packets
(1 box = 2000 ct) ::

Box(es) of Sweet Thing® Sweetener
(1 box = 1000 ct) ::

Box(es) of Wooden Stir Sticks
(1 box = 500 ct) ::

Box(es) of Plastic Stir Straws
(1 box = 1000 ct) ::