Order form Coffee breaks | Vrije Universiteit Brussel

Applicant type

Internal applicant

External applicant

Name company

Address

City

Postal code

Country

VAT number

Service

First name

Last name

E-mail

Phone number

Invoice reference

PKC

Delivery or pick up

Delivery

Pick up

Room number (if delivered)

Pick up date

Pick up time

Start hour activity

End hour activity

Number of people COFFEE/TEA

Number of bottles of STILL WATER 1L

Number of bottles SPARKLING WATER 1L

Number of bottles of FRUIT JUICE 1L

Number of bottles of COLA 0,5L

Amount of bottles of COLA ZERO 0,5L

Number of MINI PASTRIES

Other DESSERTS

- None -
Donut
Cake
Muffin
Brownie
Big coffee cake
Frangipane cake
Oliebol
Matte pie
Pie point - banana
Piepunt - triple chocolate

Amount

Other DESSERTS

- None -
Donut
Cake
Muffin
Brownie
Big coffee cake
Frangipane cake
Oliebol
Matte pie
Pie point - banana
Piepunt - triple chocolate

Amount

Other DESSERTS

- None -
Donut
Cake
Muffin
Brownie
Big coffee cake
Frangipane cake
Oliebol
Matte pie
Pie point - banana
Piepunt - triple chocolate

Amount

Additional questions and comments