2020 Coffee order form rev1
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Enter Full Name *
Email or Phone # *
Payment MUST be at time of PICKUP (address below) *
Add "COFFEE" in memo
Remember to fill in quantity
For All Dean's Beans Item Descriptions: (use link below)  https://drive.google.com/file/d/0BzWR1UtvGWjDMkdJVUF1U05OSkU/view?usp=sharing
Fill checkbox with your selection.  Remember Quantity (Qty)
ONE lb Bag  //  1#  
Fill checkbox with your selection.  Remember Quantity (Qty)
Whole Bean
Ground Normal (drip)
Ground Fine (espresso)
Ground Coarse (percolator / French press)
Qty=1
Qty=2
Qty=0* other, use end note
JCA Regular $10.50
JCA DECAF $11.50
Ahab's Revenge $10.75
Arctic Sunrise $10.75
Aztec Two Step $10.75
Aztec Two Step DECAF $11.75
Berkeley Shark Bite $10.75
ONE lb Bag  //  1#  
Fill checkbox with your selection.  Remember Quantity (Qty)
Whole Bean
Ground Normal (drip)
Ground Fine (espresso)
Ground Coarse (percolator / French press)
Qty=1
Qty=2
Qty=0* other, use end note
Birdwatcher's Blend $10.75
Colombian $10.75
Ethiopian Oromia $10.75
French Vanilla Kiss $10.75
French Vanilla Kiss DECAF $11.75
Full Moon $10.75
ONE lb Bag  //  1#  
Fill checkbox with your selection.  Remember Quantity (Qty)
Whole Bean
Ground Normal (drip)
Ground Fine (espresso)
Ground Coarse (percolator / French press)
Qty=1
Qty=2
Qty=0* other, use end note
Guatemalan French Roast $10.75
Hazelnut Dream $10.75
Hazelnut Dream DECAF $11.75
Italian Espresso Roast $10.75
Italian Espresso DECAF $11.75
Marrakesh Express $10.75
ONE lb Bag  //  1#  
Fill checkbox with your selection.  Remember Quantity (Qty)
Whole Bean
Ground Normal (drip)
Ground Fine (espresso)
Ground Coarse (percolator / French press)
Qty=1
Qty=2
Qty=0* other, use end note
Mexican Chiapas $10.75
Mexican Chiapas DECAF $11.75
Mexican French Roast $10.75
Moka Java $10.75
Moka Sumatra $10.75
Nicaraguan French Roast $10.75
ONE lb Bag  //  1#  
Fill checkbox with your selection.  Remember Quantity (Qty)
Whole Bean
Ground Normal (drip)
Ground Fine (espresso)
Ground Coarse (percolator / French press)
Qty=1
Qty=2
Qty=0* other, use end note
NoCO2 Peruvian $10.75
Peruvian $10.75
Peruvian French Roast DECAF $11.75
Rattlesnake Gutter Brew $10.75
Ring of Fire $10.75
Roadhouse Blend $10.75
ONE lb Bag  //  1#  
Fill checkbox with your selection.  Remember Quantity (Qty)
Whole Bean
Ground Normal (drip)
Ground Fine (espresso)
Ground Coarse (percolator / French press)
Qty=1
Qty=2
Qty=0* other, use end note
South American HALF-CAF $10.75
Sumatran French Roast $10.75
Thunder Mug $10.75
Thunder Mug DECAF $11.75
Timor $10.75
Uprising! $10.75
Remember to select QUANTITY (Qty)
FIVE (5) Lbs. Bag  //  5#
Whole Bean
Ground Normal (drip)
Ground Fine (espresso)
Ground Coarse (percolator / French press)
Qty=1
Qty=0* other, use end note
JCA Regular $48.00
JCA DECAF $53.00
Ahab's Revenge $49.00
Arctic Sunrise $49.00
Aztec Two Step $49.00
Aztec Two Step DECAF $53.00
Berkeley Shark Bite $49.00
FIVE (5) Lbs. Bag  //  5#
Whole Bean
Ground Normal (drip)
Ground Fine (espresso)
Ground Coarse (percolator / French press)
Qty=1
Qty=0* other, use end note
Birdwatcher's Blend $49.00
Colombian $49.00
Ethiopian Oromia $49.00
French Vanilla Kiss $49.00
French Vanilla Kiss DECAF $53.00
Full Moon $49.00
FIVE (5) Lbs. Bag  //  5#
Whole Bean
Ground Normal (drip)
Ground Fine (espresso)
Ground Coarse (percolator / French press)
Qty=1
Qty=0* other, use end note
Guatemalan French Roast $49.00
Hazelnut Dream $49.00
Hazelnut Dream DECAF $53.00
Italian Espresso Roast $49.00
Italian Espresso DECAF $53.00
Marrakesh Express $49.00
FIVE (5) Lbs. Bag  //  5#
Whole Bean
Ground Normal (drip)
Ground Fine (espresso)
Ground Coarse (percolator / French press)
Qty=1
Qty=0* other, use end note
Mexican Chiapas $49.00
Mexican Chiapas DECAF $53.00
Mexican French Roast $49.00
Moka Java $49.00
Moka Sumatra $49.00
Nicaraguan French Roast $49.00
FIVE (5) Lbs. Bag  //  5#
Whole Bean
Ground Normal (drip)
Ground Fine (espresso)
Ground Coarse (percolator / French press)
Qty=1
Qty=0* other, use end note
NoCO2 Peruvian $49.00
Peruvian $49.00
Peruvian French Roast DECAF $53.00
Rattlesnake Gutter Brew $49.00
Ring of Fire $49.00
Roadhouse Blend $49.00
FIVE (5) Lbs. Bag  //  5#
Whole Bean
Ground Normal (drip)
Ground Fine (espresso)
Ground Coarse (percolator / French press)
Qty=1
Qty=0* other, use end note
South American HALF-CAF $53.00
Sumatran French Roast $49.00
Thunder Mug $49.00
Thunder Mug DECAF $53.00
Timor $49.00
Uprising! $49.00
Please enter either your total lb or $ (e.g: 2lb or $22) *
Notes (any note)
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