"Brewing Individuality" Coffee Order
Thank you for supporting our mission of "Brewing Individuality" for $1.00 per cup. You will receive a bill via mailbox every Friday and should submit payment to Mrs. Clark's mailbox by the following Monday in the resuable envelope marked with your name. If payment is late by two weeks, orders will be delayed until payment is recieved.
Prefix *
Last Name *
Your answer
What day(s) this week do you want your delivery? *
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What day(s) this week do you want your delivery?
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DD
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YYYY
What day(s) this week do you want your delivery?
MM
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DD
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YYYY
What day(s) this week do you want your delivery?
MM
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DD
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YYYY
What day(s) this week do you want your delivery?
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Product *
Vessel of Choice *
Sweetened Original Creamer *
Café Mocha Creamer *
Irish Cremé Creamer *
French Vanilla Creamer *
Hazelnut Creamer *
Sweetener *
Required
Sweetener Quantity *
Muffin (FREE) *
Required
Delivery Time *
Time
:
Delivery Location *
Your answer
Amount *
THANK YOU FOR YOUR BUSINESS!
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