| Telephone & Mail Order Form |
|
Friday Sep 03 2010 |
All
coffee is shipped in 1 pound bags all prices are USD per pound |
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| Regular Coffees | Decaffeinated Coffees | |||||
| Coffee Varieties | Price | Qty. | Total(A) | Price | Qty. | Total(B) |
|---|---|---|---|---|---|---|
| Almond Amaretto | $11.99 | $13.99 | ||||
| Almond Joy | $12.99 | $14.99 | ||||
| Banana Nut Bread | $11.99 | $13.99 | ||||
| Celebes Kalossi | $10.99 | - - Not Available - - | ||||
| Cherry Chocolate | $12.99 | - - Not Available - - | ||||
| Chocolate Mint | $11.99 | - - Not Available - - | ||||
| Chocolate Raspberry Truffle | $12.99 | $14.99 | ||||
| Cinnamon Mocha Twist | $12.99 | $14.99 | ||||
| Coconut Cream | $11.99 | $13.99 | ||||
| Colombian Supremo | $10.99 | $11.99 | ||||
| Copenhagen Blend | $11.99 | $11.99 | ||||
| Costa Rica Tarrazu | $12.99 | - - Not Available - - | ||||
| Creme Brulee | $11.99 | $13.99 | ||||
| Creamy Caramel | $11.99 | $13.99 | ||||
| Dutch Chocolate | $12.99 | $14.99 | ||||
| French Roast | $10.99 | $11.99 | ||||
| French Vanilla | $11.99 | $13.99 | ||||
| Guatemala Antiqua | $10.99 | - - Not Available - - | ||||
| Hazelnut Creme | $11.99 | $13.99 | ||||
| Highlander Grogg | $11.99 | $13.99 | ||||
| Holiday Tradition (Seasonal) | $12.99 | - - Not Available - - | ||||
| House Blend | $10.99 | $11.99 | ||||
| Irish Creme | $11.99 | $13.99 | ||||
| Italian Espresso | $10.99 | $11.99 | ||||
| Jamaican Blue Mountain (100%) | $44.95 | - - Not Available - - | ||||
| Jamaican Me Crazy | $11.99 | - - Not Available - - | ||||
| Java Estate | $10.99 | - - Not Available - - | ||||
| Zambia | $11.99 | $12.99 | ||||
| Kona Hawaii (100%) | $34.95 | - - Not Available - - | ||||
| Mocha Java | $10.99 | $11.99 | ||||
| Pecan Toffee | $12.99 | $14.99 | ||||
| Organic Peruvian Dark Roast | $11.99 | - - Not Available - - | ||||
| Pumpkin Pie (Seasonal) | $11.99 | $13.99 | ||||
| Seville Orange | $12.99 | $14.99 | ||||
| Snickerdoodle | $12.99 | $14.99 | ||||
| Southern Pecan | $12.99 | $14.99 | ||||
| Sumatra - Certified Organic | $11.99 | $13.99 | ||||
| Toasted Praline | $12.99 | $14.99 | ||||
| Turtle Sundae | $12.99 | $14.99 | ||||
| Vanilla Nut Creme | $11.99 | $13.99 | ||||
| Viennese Cinnamon | $12.99 | $14.99 | ||||
| Viennese Roast | $10.99 | - - Not Available - - | ||||
 |
Sub-Total A: | Sub-Total B: | ||||
| Sub-Total Col. A: | ||||||
| Base Shipping: | $4.95 | |||||
| ** For Orders of Over 5 pounds - Add an Additional $1.00: |
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| ** For Delivery to a Residential Address - Add an Additional $1.00 | ||||||
| ** For Delivery to a Rural Zip Code (As Determined by UPS) - Add an Additional $2.00 |
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| ** For Example: A 10 pound Order to a Residential Address in Rural Texas would be $5.00 Additional | ** For Addresses West of the Mississippi - Add an Additional $1.00 | |||||
| Order Total: | ||||||
 Whole
Bean Drip
Grind |
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- Shipping & Billing Information -
| Shipping Name: | |
| Shipping Address: | |
| Shipping City, State, Zip: | |
| Shipping Phone: | |
| MasterCard VISA Check Enclosed (Please Allow 10 Days for Check to Clear) |
FOR FASTER SERVICE CALL (727) 595-6717 Have Your MasterCard or VISA Card Handy or Fill out Form and Fax to (727) 595-6717 |
| Card Number: | |
| Exp. Date: Auth. Code | |
| Signature: | |
| Billing Name: | Mail to: The Coffee Mill 12199 Indian Rocks Road Largo, FL 33774 |
| Billing Address: | |
| Billing City, State, Zip: | |
| Billing Phone: | |
| All Orders shipped within 48 hours unless payment is made by check. | |