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!
Bi-weekly (every 2 weeks)
Amount of coffee:
(per item, per delivery)
3/4 pound (12oz) $12.00
1 pound (16oz) $16.00
6 pound bulk bag $67.20
It's complicated, we'll discuss it when you contact me
What roast would you like?
Ground or whole bean?
(we grind your coffee for you, no extra charge!)
Ground coarse (for French Press)
Ground fine (for Melita filter)
Ground super-fine (for espresso)
Ground (I don't know, it's just a regular coffee maker)
Select Your Organic Sentinel Signature Blends (choose one):
Organic Selection ( Organic selection of the week highlighting an origin the roaster is excited about)(either medium or dark)
Sentinel House Blend (Roasted Full City)
Octopus Espresso (Roasted Vienna)
Bharata Espresso (Roasted Medium)
Juanita’s Inca Gold Blend (Roasted dark)
Bear Track Blend (Roasted Vienna)
Coppa Espresso Blend (Roasted full city)
Coppa House Blend (Roasted Full City)
Gonzo AK Waffle Co. Espresso blend (Roasted Full City)
Gonzo AK Waffle Co. House blend (Roasted Full City
Misty Mountain Decaff (either medium or dark)
Fairweather Blend (half decaffeinated and half regular) (either medium or dark)
Or Select your 100% Grown in the USA Hawaiian Coffee
Organic Rainforest Farms Organic Kona Coffee ($40/lb or $21.50/half pound)
Juneau Local Julia Smith Kibby grows Kona Coffee on her farm just for you!
Or Select Your Organic Single Origin Selection:
Fair Trade, Organic, Ethiopia Guiji
Organic, Rainforest Alliance Ugandan Sipi Falls
Fair Trade, Organic Papua New Guinea Kito- Tapasi
Fair Ttrade, Organic, Bird Friendly "La Florida" Peru
Organic Brazil Nossa Fazenda de Diamantina
Fair Trade, Organic, Nicaragua Segovia
Fair Trade, Organic Women's Cooperative Colombia
Biodynamic, Organic, POABS Estate Indian
Fair Trade, Organic Guatemalan Huehuetenango
Organic, Rain forest Alliance, Bird Friendly El Salvador, Finca Rumania
Organic Ramirez Estate Dominican Republic
And/ Or Enjoy Our Wild Harvest Tea Options
Southeast Herbal Blend (nettle, salmonberry leaf, blueberry leaf)
Gustavus Fields ( yarrow, spearmint, green tea)
Blueberry leaf Oolong (roasted blueberry leaf)
Fireweed Chai (black tea, spices, fireweed flowers)
Special requests or order details?
(we will contact you directly to discuss this order)
(are you hard to find? where should products go?)
Preferred payment method
pay by check in mail
e-mail invoice with paypal and credit card payment buttons
Are you tax exempt?
(Senior or other tax exemption)
If Yes, what is your Juneau Tax exempt ID #
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service