Hot Rod Coffee Order Form
NAME: | ||
ADDRESS: | ||
CITY: | ||
STATE: | ||
ZIP: | ||
PHONE#: | ||
E-Mail Us at: HotRodCoffee@Pacbell.Net |
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CHECK OR MONEY ORDER MADE PAYABLE TO: THE HOT ROD CAFE MAIL TO: |
THE HOT ROD CAFE | |
1314 ROLLINS ROAD | ||
BURLINGAME, CA 94010 | ||
FAX ORDERS TO : |
THE HOT ROD CAFE | |
(650)-340-9473 | ||
CREDIT CARD: MASTERCARD or VISA |
CALL: (650)-348-8269 | |
CREDIT CARD NUMBER: | ||
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EXPIRATION DATE: | | | | | ||
SIGNATURE:________________ | ||
QTY. DESCRIPTION | PRICE: |
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3 POUND GIFT PACK, 1 LB OF EACH BLEND: |
$36.00 per gift pack | |
CHOOSE: WHOLE BEAN OR DRIP GRIND |
WHOLE BEAN
____ ...or... DRIP GRIND ____ |
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SHIPPING CHARGES: |
$9.00 per gift pack | |
TOTAL = $45.00 PER 3 lb. GIFT PACK |