Coffee and Tea Delivery Order Form
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Email *
Delivery frequency
(How often?)
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Amount of coffee:
(per item, per delivery)
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What roast would you like?
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Ground or whole bean? *
(we grind your coffee for you, no extra charge!)
Select Your Organic Sentinel Signature Blends (choose one):
Or Select your 100% Grown in the USA Hawaiian Coffee
Or Select Your Organic Single Origin Selection:
And/ Or Enjoy Our Wild Harvest Tea Options
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Special requests or order details?
Full name *
Phone number *
(we will contact you directly to discuss this order)
Delivery Address *
Delivery Instructions
(are you hard to find? where should products go?)
Preferred payment method
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Are you tax exempt?
(Senior or other tax exemption)
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If Yes, what is your Juneau Tax exempt ID #
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