Fax Order Form - Evelyn Bay Coffee House


Just print this form, fill out your order, and fax it to us!
FAX #: 517-750-2257
Please allow 30 minutes to fill your order

Your 1st & last name: _______________________________________ Phone # where you can be reached: ______-___________ Time you would like your order ready: ___:______ am / pm (circle) What are you ordering? (one item per line please) Item 1:_______________________________________________  Quantity:____ Special instructions (flavor, toppings, etc.):_______________________________ Item 2:_______________________________________________  Quantity:____ Special instructions (flavor, toppings, etc.):_______________________________ Item 3:_______________________________________________  Quantity:____ Special instructions (flavor, toppings, etc.):_______________________________ Item 4:_______________________________________________  Quantity:____ Special instructions (flavor, toppings, etc.):_______________________________ Item 5:_______________________________________________  Quantity:____ Special instructions (flavor, toppings, etc.):_______________________________ Item 6:_______________________________________________  Quantity:____ Special instructions (flavor, toppings, etc.):_______________________________