Coffee Pod Order
Please complete this form with details of your coffee pod order. After you fill it out, we will send you an invoice with confirmation we have received your order. 
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Are you a new or existing customer? *
How many coffee pods would you like to order? *
What blend(s) would you like to order? Choose all that apply. *
If you choose more than one blend, we will make add equal pods of each selection. i.e. If you choose 36 Pods and choose House, Dark, and Texas Pecan, we'll put in 12 of each blend.
Required
Special Instructions
If you would prefer non-equal portions, please describe your breakdown... ie. Half Texas Pecan, 12 Christmas, 6 Dark Roast.
Contact info
Please let us know who the invoice should go to.
Your name *
Company Name
Phone number *
E-mail
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