Prelock Blueberry Farm
Freshly Roasted Whole Bean Coffee Order Form
Please fill out the form
below to order your coffee.
Please make out your
check to: Prelock Farm Inc.
Your Name:
____________________________________________
Your
Street Address _____________________________________
|
1/2
lb. Bags |
#
Desired |
Price |
Item
Total |
|
||
|
Columbian |
|
$6
|
|
|
||
|
|
|
$6
|
|
|
||
|
|
|
$6
|
|
|
||
|
Brazilian Decaf |
|
$6
|
|
|
||
|
|
|
|
|
|
||
|
1
lb. Bags |
|
|
|
|
||
|
Columbian |
|
$12
|
|
Shipping
& Handling Chart |
||
|
|
|
$12
|
|
1-2 lbs. |
$6.95 |
|
|
|
|
$12
|
|
3-8 lbs. |
$12.95 |
|
|
Brazilian Decaf |
|
$12
|
|
8-15 lbs. |
$16.95 |
|
|
|
|
Total |
|
|
||
|
|
|
S
& H |
|
|
||
|
|
|
Total |
|
|
||