Coffee and Tea Delivery Order Form
Your new subscription starts on the first Tuesday after you sign up, email us to hold or cancel anytime you like!
Email address *
Delivery frequency
(How often?)
Amount of coffee:
(per item, per delivery)
What roast would you like?
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
Special requests or order details?
Your answer
Full name *
Your answer
Phone number *
(we will contact you directly to discuss this order)
Your answer
Delivery Address *
Your answer
Delivery Instructions
(are you hard to find? where should products go?)
Your answer
Preferred payment method
Are you tax exempt?
(Senior or other tax exemption)
If Yes, what is your Juneau Tax exempt ID #
Your answer
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