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QM Orders To Go Order Form

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                                                      QM Orders To Go Order Form
                                                                48 Hour Advance Notice Required
                                                                                                                              9” Round (2 Layer)
                                                                                                                              serves 7 - 10

                                                                                                                           Full Size (3-4 Layer)
Date:                                                                             Cakes                                    serves 12 - 15

Taken by:
Customer Name:
                                                                                      Angel Food                                                   50
Customer Phone:
                                                                                      Autumn Spice                                                 55    35.
Customer Email:
                                                                                      Black Forest Cake                                            55
Pickup Date:
                                                                                      Carrot                                                       55
Pickup Time:
                                                                                      Chocolate Cake                                               55    35.
Catering                                                                              Chocolate Coconut                                            55    35.
                                                                                      Chocolate Hazelnut                                           55    35.
        Seasonal Teabread (1.25)
                                                                                      Chocolate Raspberry                                          55    35.
        Mini Shortbread (.65)
                                                                                      Chocolate Mint                                               55    35.
        Mini Seasonal Cookie (.65)
                                                                                      Chocolate Mocha                                              55    35.
        Mini London Sugar Cookie (.65)
                                                                                      Citrus Delight                                               55
        Seasonal Teacake or Cheesecake (1.50)
                                                                                      Coconut                                                      55
        Mini Cranberry Orange Scone (1.5)
                                                                                      German Chocolate                                             55
        Scone (1.25)
                  Butter        Strawberry Jam                                        Kahlua                                                       55    35.
           Whip Cream               Marmalade                                         L’Orange                                                     55    35.
        2” Lemon Curd Tart (1.75)                                                     Lemon                                                        55    35.
        Tea Sandwiches (1.25)                                                         Princess                                                     55
            Cucumber with mint butter                                                 Turkish Apricot                                              55
            Chicken Almond w/ mustard butter                                          Vanilla Buttercream                                          55    35.
            Smoked salmon cream cheese
                                                                                      Very Berry                                                   55    35.
            Fuji apple w/ hazelnut goat & cream cheese spread
                                                                                      Zebra                                                        55    35.
            Peanut butter & rasp jam (creamy / crunchy)
            Cream cheese & rasp jam                                               Cheesecakes (3 day Minimum Notice)
            Seasonal
            Seasonal
                                                                                      White Chocolate Peppermint                                   50.
            Seasonal
                                                                                      Chocolate Amaretto                                           50.
        Fruit (2.50 per person)                                                       Chocolate                                                    50.
        Smoked Salmon Quiche (45.) 9” diameter                                        Chocolate Mint                                               50.
        Vegetarian Quiche (45.) 9” diameter                                           Grand Marnier                                                50.
        Westminster (52.) 9” diameter                                                 Lemon                                                        50.
        Cornish Pastie (4.50 each)                                                    Lemon Berry                                                  50.
        Pin Wheel (1.75 each)
                                                                                      Marble                                                       50.
        Sausage Roll (1.50 each)
                                                                                      Pumpkin                                                      50.
        Mini Quiche (1.65 each)
                                                                                      White Chocolate                                              50.
        Curry Beef Pasties (1.75 each)
                                                                                      White Chocolate Chai Cheesecake                              50.
Cookies
                                                                                     Decoration*
                                                                                          Text and Flowers
        Chocolate Chunk (2.25)
        Ginger (2.25)
        London Sugar (2.25)                                                               Normal (same as dessert case)
                                                                                          Flowers only
        Oatmeal Chocolate Chip (2.25)
                                                                                    * Standard flowers are from in-house
        Peanut Butter Milk Choc (2.25)
        White Dover (2.25)
                                        Bring In Completed Form At Least 48 Hours In Advance
                                                                              QM 010711
                                                                                                                                                Page 2
                                          QM Orders To Go Order Form
                                                   48 Hour Advance Notice Required
                                                                                                     Customer Name:
                                                                                                     Customer Phone:

*Prices are for 4 ounces of exquisite loose tea, which will easily serve 20 people.
                                                                                                        Caffeine Free
 Black Tea                                    Oolong Tea
      Assam (14.74)                                  Bai Hao Silver Tip (organic) (20.14)                South African Red Tea

      Cameronian (12.24)                             Coconut Baozhong (22.04)                                  After The Ball Rooibos (11.40)
      Darjeeling (19.38)                             Ti Guan Yin (18.62)                                       Apple Strudel Honeybush (10.)
      English Breakfast (12.92)                      Wenshan Baozhong (organic) (28.51)                        Chai Rooibos (7.98)
      Golden Monkey (organic) (22.04)                                                                          Crimson Berry Rooibos (organic) (7.98)
                                              Green Tea
      Irish Breakfast (10.26)                                                                                  Earl Grey Rooibos (9.88)
                                                     Cherry Marzipan (11.40)
      Keemun (organic) (12.35)                                                                                 Ginger Lime Rooibos (organic) (12.92)
                                                     Genmaicha (organic) (12.54)
      Lapsang Souchong (12.16)                                                                                 Harvest Pear Rooibos (9.31)
                                                     Jasmine Pearl (organic) (24.32)
      Nilgiri - Burnside Estate (12.16)                                                                        Honeybush (9.12)
                                                     Moroccan Blossom (9.50)
      Red Tip Yunnan (organic) (14.44)                                                                         Lavender Rooibos (organic) (10.64)
                                                     Pomegranate Grape (11.40)
      Russian Caravan (12.92)                                                                                  Lemon Chiffon Rooibos (10.64)
                                                     Yang Xian Mao Feng (organic) (17.10)
      Yunnan Gold (organic) (22.80)                                                                            Orange Creamsicle Rooibos (9.88)
                                               White Tea
 Decaf Black Tea                                                                                               Peppermint Rooibos (organic) (15.20)
                                                     Silver Needle (25.65)
      Apricot Peach (12.16)                                                                                    Pina Colada Rooibos (9.31)
                                                     White Chai (11.40)
      English Breakfast (10.83)                                                                                Rooibos (organic) (8.36)
                                                     White Peach Blossom (organic) (19.95)
 Flavored Black Tea                                  White Peony (organic) (25.08)                             Spicy Plum Rooibos (8.74)
      Almond Cream (10.)                             White Pomegranate (organic) (23.75)                       Vanilla Cream Rooibos (9.88)
      Black Currant (10.83)                                                                                    Vanilla Honeybush (9.88)
                                               Mate Tea
      Coconut (11.40)                                                                                    Tulsi Tea
                                                     Afternoon Tango (10.83)
      Creamy Earl Grey (12.92)                                                                                 Raspberry Peach (organic) (19.)
                                                     Brazilian Sweet Orange (12.85)
      Earl Grey (10.64)                                                                                        Tulsi (organic) (17.48)
                                                     Ginger Spice (organic) (10.83)
      French Vanilla (10.64)
                                                     Mate (organic) (8.36)
      Ginger Peach Apricot (11.40)
      Jackfruit (12.16)                        Tea Accessories
      Lady Earl Grey (8.93)
      Lavender Earl Grey (12.92)               Tea Filters (count of 100)
      Mango Passion Fruit (11.40)                         Sm (made for 1 cup teapots or mugs) (7.)

      Masala Chai (9.69)
      Orange Spice (10.07)
                                                          Lrg (made for 2 - 4 cup teapots) (8.)

                                                     Tea Timer (18.)
                                                                                                                        Be Well,
      Royal Rose (10.64)                             Tea Scoop (6.)                                                    Drink TeaTM
      Strawberry Pepper (10.83)                      Tea Strainer (15.)
      Wild Berries (11.40)


 All orders MUST be prepaid
             Card Type:       Visa    MasterCard    Discover           AmEx

         Name on Card:                                                                 Exp Date:
   Credit Card Number:                                                                       CVV:
 Note to QM Staff: Staple MICROS receipt to this form


                                     Bring In Completed Form At Least 48 Hours In Advance
                                                                           QM 010711

				
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posted:7/19/2011
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