Coffee Order Form Mail to:
P.O. Box 1509, Poulsbo, WA 98370
Phone: 360 779 9199 Email:
emmj@centurytel.net
(Just print out this page, fill it in, and send it to the
coffeehouse. Thanks.)
U
nit
Price:
(12 Oz.)
$12.50
Poulsbohemian
Blend
Whole Bean
Drip Grind
Quantity
____________ ____________
Island
Decaf
Whole Bean
Drip Grind
____________ ____________
Totals:
(
oz.)
$____________
Your
Name __________________________________________
Address ____________________________________________
___________________________________________________
Check Amount (Add $5.00
for shipping/We pay
any tax) _________
