| Telephone & Mail Order Form |
|
Tuesday Feb 07 2012 |
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 | $13.99 | $15.99 | ||||
| Almond Joy | $13.99 | $15.99 | ||||
| Banana Nut Bread | $13.99 | $15.99 | ||||
| Celebes Kalossi | $14.99 | - - Not Available - - | ||||
| Cherry Cobbler | $13.99 | $15.99 | ||||
| Chocolate Mint | $13.99 | - - Not Available - - | ||||
| Christmas Cookie | $13.99 | $15.99 | ||||
| Cinnamon Buttercream | $13.99 | $15.99 | ||||
| Coconut Cream | $13.99 | $15.99 | ||||
| Colombian Supremo | $12.99 | $12.99 | ||||
| Copenhagen Blend | $13.99 | $13.99 | ||||
| Costa Rica Tarrazu | $14.99 | - - Not Available - - | ||||
| Creme Brulee | $13.99 | $15.99 | ||||
| Creamy Caramel | $13.99 | $15.99 | ||||
| French Roast | $13.99 | $13.99 | ||||
| French Vanilla | $13.99 | $15.99 | ||||
| Guatemala Antiqua | $12.99 | - - Not Available - - | ||||
| Guatemalan | - - Not Available - - | $13.99 | ||||
| Hazelnut Creme | $13.99 | $15.99 | ||||
| Highlander Grogg | $13.99 | $15.99 | ||||
| House Blend | $13.99 | $13.99 | ||||
| Irish Creme | $13.99 | $15.99 | ||||
| Italian Espresso | $12.99 | $13.99 | ||||
| Jamaican Blue Mountain (100%) | $44.95 | - - Not Available - - | ||||
| Jamaican Me Crazy | $13.99 | - - Not Available - - | ||||
| Java Estate | $12.99 | - - Not Available - - | ||||
| Zambia/Decaf Kenya AA | $13.99 | $13.99 | ||||
| Kona Hawaii (100%) | $34.95 | - - Not Available - - | ||||
| Mocha Java | $12.99 | $12.99 | ||||
| Organic Peruvian Dark Roast | $13.99 | - - Not Available - - | Pecan Toffee | $13.99 | $15.99 | Pecan Torte | $13.99 | $15.99 |
| Pumpkin Pie (Seasonal) | $13.99 | $15.99 | ||||
| Seville Orange | $13.99 | $15.99 | ||||
| Snickerdoodle | $13.99 | $15.99 | ||||
| Sumatra - Certified Organic | $14.99 | $15.99 | ||||
| Toasted Praline | $13.99 | $15.99 | ||||
| Vanilla Nut Creme | $13.99 | $15.99 | ||||
| Viennese Roast | $12.99 | - - 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. | |