Gold Hill Java - Curbside Order Form

Gold Hill Java Curbside Order Form

Please fill in all items that apply and we'll be ready with your order when you arrive. Provide us with your vehicle information and we'll bring your items to you. Our goal is to make starting your day or any time, a great time to enjoy freshly roasted Gold Hill Java coffee & beverages.

Name, Phone Number, Pickup Time, Vehicle Info *
Cup O' Joe Select Size & Roast Select Cup Size & Roast8oz12oz16oz20ozDark RoastMedium RoastLight RoastFlavored RoastDecaf RoastOther Roast
Quantity
Cup O' Joe Special Instructions Please add any special instructions
Espresso8oz12oz16oz20ozEspressoAmericanoBreveLatteCappuccinoMocha - Select Chocolate BelowMilk ChocolateWhite ChocolateMexican Chocolate
Quantity
Espresso Special Instructions
Au Lait8oz12oz16oz20oz
Quantity
Chocolate Au Lait8oz12oz16oz20ozMilk ChocolateWhite ChocolateMexican Chocolate
Quantity
Hot Cocoa - Select Chocolate8oz12oz16oz20ozMilk ChocolateWhite ChocolateMexican Chocolate
Quantity
Chai Latte - Select Tea Select Tea8oz12oz16oz20ozBlackGreenCaffeine-free Red Chai
Quantity
Steamer - Select Flavor Below8oz12oz16oz20oz
Quantity
Mate Latte8oz12oz16oz20oz
Quntity
Hot Tea - Select Tea8oz12oz16oz20ozBlackGreenCaffeine-free RedHerbal
Quantity
Apple Cider8oz12oz16oz20oz
Quantity

Milkshake - Select Flavor Below12oz16oz24oz
Quantity
Italian Soda - Select Flavor Below12oz16oz24oz
Quantity
Italian Cream Soda - Select Flavor Below12oz16oz24oz
Quantity
Slushy - Select Flavor Below12oz16oz24oz
Quantity
Iced Tea - Select Flavor Below12oz16oz24oz
Quantity

Fruit Smoothie - Select Flavor(s)12oz16oz24ozAcai-Pomegranite-BlueberryCaribbean ColadaIntense Green AppleKiwi-BananaMandarin-Orange-Passion FruitMango ManiaRazz-CranberryStrawberry-BananaStrawberry BombWildberry Blast
Quantity

Select Your MilkWhole Milk2% MilkFat-Free MilkSoy MilkRice MilkWhipped Cream on Top

Da Vinci Gourmet SyrupsAlmondAmarettoAppleB-52BananaBlack CherryBlue CuracaoBlueberryButter PecanButter RumButterscotchCaramelCaramel PecanCarrot CakeCherryChocolateChocolate MintChocolate Peanut ButterCinnamonCoconutCookie DoughCreme de MentheCranberryEnglish ToffeeEgg NogFrench VanillaGingerbreadGrapeGuavaHazelnutIrish CreamKahluaKiwiLemonLimeMacadamia NutMangoOrangePassion FruitPeachPeanut ButterPeppermint PaddyPeppermintPiña ColadaPineapplePralinePumpkin PieRaspberryRoot BeerSpiced ChaiStrawberryTiramisuToasted MarshmallowVanillaWatermelonWhite Chocolate

Da Vinci SUGAR FREEAlmondAmarettoBananaBlueberryButterscotchCaramelCherryChocolateCinnamonCoconutCookie DoughCreme de MentheEnglish ToffeeFrench VanillaGingerbreadHazelnutIrish CreamMacadamia NutOrangePeppermint PaddyPeppermintPralineRaspberryRoot BeerSpice BlendSpiced ChaiStrawberryVanillaWatermelonWhite Chocolate

Beverage CondimentsHalf & HalfWhole MilkFat-Free MilkSoy MilkRice MilkSugarSugar in the RawSweet-N-LowSpendaEqualHoney
Custom Beverage Temp ChoicesIcedBlendedDrink Temp Warm (120° - 130°)Drink Temp Hot (140° - 150°)Drink Temp Extra Hot (160° - 170°)
Special Instructions