Subscription Sign-Up Form
Opt-in form for monthly coffee subscription service.
Email address
First and last name
Your answer
Address where you want your coffee delivered
Your answer
Are you a first responder, military, clergy, dispatcher or the spouse of one of these? If so, you receive an extra 10% off. We may ask you for proof.
Required
Select the type of coffee you would like delivered (see www.hornadycoffee.com for descriptions - they are listed from light to dark). If more than one is selected, you will receive each bag of coffee on your delivery date.
Required
Select ground or whole bean.
Required
If you want your coffee ground, please give a brief description on what you brew your coffee with (ie. regular coffee pot with a paper filter or french press).
Your answer
Phone number including area code.
Your answer
Best way to reach you with questions and to let you know about your delivery. If you choose cell phone, please specify the time and wether you want a phone call or a text message.
Your answer
Payment method
If you are wanting to use a credit card, let us know to give you a call to collect the number, expiration date and security code - if using cash, check or PayPal invoicing, please select N/A
Your answer
Please select I agree to the following if you agree: Three days before deliveries go out, we will contact you via the method listed above to let you know we are billing your credit card or sending out invoices. When we contact you, we will also verify which coffees you would like to receive. If you do not respond, we will still process your credit card on file and deliver the coffee you marked above. This will take place at the end of the first week of each month. If you need your coffee mailed, a charge of $7.99 will be applied to your order. We deliver for free to all of Lee County, Valley, Alexander City, Monroeville and Montgomery, Alabama.
Required
Anything else we may need to know (ie. My neighbor's like to steal my coffee or my dog may lick you to death so bring a rain coat).
Your answer
Please complete the captcha before submitting the form.
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