Print this (1 page "Write In") order form for mailing or fax
At your discretion, we will grind coffee before shipping, just indicate your grind
preference below. If a particular coffee is unavailable, we may provide an alternative
coffee with similar qualities. Payment, personal checks take longer to process, credit card, money order or cashiers check will speed up your order. Include shipping charges from the chart below. Please make all payments to: Coffee Expedition
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Please "circle" payment method: |
Credit Card |
Money Order/Cashiers Check |
Personal Check |
The following information is required.
(In case we have a question about your order.)
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Your Name: Address: Apartment #: City, State, Zip: Country: Day Phone: Evening Phone: Your E-Mail address: |
Circle Accepted Card Type: -------------------------Visa - MasterCard -------------------------American Express -------------------------Discover Card Number: Expiration Date (mm/yy): Name Appearing on Card: ------------------------- -------------------------
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--Shipping and Handling Costs-----------------------Coffee Grinds
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Purchase Amount $0 - $20 $20 - $40 $40 - $60 $60 - $80 $80 - $100 |
Continental U. S 10.75 15.75 18.50 20.55 25.00 |
Coffee Grind Codes W=Whole Bean P=Coarse (French press, percolator) D=Medium (regular drip) S=Fine (stovetop espresso, vacuum, Bunn) C=Extra Fine (cone filter - gold & paper, pressure/electric espresso machine) |
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Description and Order Number |
Quantity |
Coffee Grind |
Unit Price |
Total |
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Sub Total |
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Shipping |
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Total Order |
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