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Cameroon Coffee Order Form
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100% Arabica Ground Coffee
250g $9.95 each:
Qty
500g $19.95 each:
Qty
1kg $37.95 each:
Qty
70% Arabica 30% Robusta Ground Coffee
250g $9.95 each:
Qty
500g $19.95 each:
Qty
1kg $37.95 each:
Qty
Subtotal:
Postage & Handling for orders up to $50 add $8.50; for orders $50-$100 add $9;for orders over $100 add $10. Delivery approximately 21 days
Postage and Handling:
Total Cost:
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Date:
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Title:
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Mr
Mrs
Ms
Miss
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First Name:
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Last Name:
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Address:
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Town / Suburb:
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City:
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State:
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ACT
NSW
NT
QLD
SA
TAS
VIC
WA
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Post Code:
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Contact Phone:
Mobile Phone:
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Email:
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Payment Details:
Bankcard
Mastercard
Visa
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Cardholder Name:
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Credit Card Number:
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Expiry Month / Year:
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