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Print
Form |
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Terra Nova Coffee Roasters Merchandise Order Form
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Terra Nova Coffee Roasters
PO Box 369
3 White Brook Road
Gilsum, NH 03448
Phone: 603-357-8728
Toll-free: 866-371-8020
Email: sales@terranovacoffee.net
http://www.terranovacoffee.net
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Complete this form and mail it with your payment to the address on the left. Please remember to add the appropriate shipping and handling costs to your order. We will send an email confirmation within 24 hours of receipt of your order. |
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Payment Information |
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Visa ___
MasterCard ___ American Express ____ Money Order ___ Check _____ |
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Credit Card
Number_________________________________________ |
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Expiration
Date ____\ ____ Authorization Number (on back)_______ |
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Name as it appears on card __________________________________
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Signature as it appears on card _______________________________ |
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Ship To |
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Name _________________________ Phone ___________________ |
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Address _________________________________________________ |
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City _______________________ State _______ Zip Code ________ |
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Email ____________________________________________________ |
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Qnty |
Type of Coffee |
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Grind -
WB
- whole bean
C - coarse
D - drip
F - fine |
Unit Price |
Subtotal |
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Bolivian |
16oz
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SingleOrigins |
$12.75 |
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Ethiopian Yirgacheffe |
16oz
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SingleOrigins |
$12.50 |
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Mexican Oaxaca |
16oz
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SingleOrigins |
$12.75 |
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Peruvian Norte |
16oz
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SingleOrigins |
$12.75 |
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Sumatra Gayoland |
16oz
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SingleOrigins |
$12.75 |
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Bolivian |
16oz
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GreenBeans |
$6.50 |
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Costa Rica La Amistad |
16oz
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GreenBeans |
$6.50 |
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Ethiopian Yirgacheffe |
16oz
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GreenBeans |
$6.50 |
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Green Bean Sampler |
16oz
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GreenBeans |
$14.00 |
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Indonesian Decaf |
16oz
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GreenBeans |
$7.50 |
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Mexican Chiapas |
16oz
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GreenBeans |
$6.50 |
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Papua New Guinea |
16oz
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GreenBeans |
$6.50 |
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Peruvian Norte |
16oz
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GreenBeans |
$6.50 |
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Sumatra Gayoland |
16oz
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GreenBeans |
$6.50 |
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Coffee Gift Box |
16oz
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GiftBox |
$37.50 |
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Decaf Espresso |
16oz
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Decafs |
$13.50 |
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French Roast Decaf |
16oz
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Decafs |
$13.50 |
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Indonesian Decaf |
16oz
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Decafs |
$13.50 |
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Magical Mocha |
16oz
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Decafs |
$13.50 |
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Big Dipper |
16oz
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Blends |
$12.95 |
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Equatorial Bold |
16oz
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Blends |
$12.75 |
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Espresso |
16oz
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Blends |
$12.75 |
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French Roast |
16oz
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Blends |
$12.75 |
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Red House |
16oz
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Blends |
$12.50 |
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Southern Cross |
16oz
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Blends |
$12.75 |
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"La Amistad" coffee mug |
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Accessories |
$3.25 |
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Botanical Coffee Mug |
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Accessories |
$3.25 |
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Buzz Beans - Dark Chocolate |
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Accessories |
$6.95 |
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Buzz Beans - Milk Chocolate |
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Accessories |
$6.95 |
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French coffee press 4-cup |
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Accessories |
$32.95 |
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French coffee press 8-cup |
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Accessories |
$39.95 |
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Home Coffee Roaster |
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Accessories |
$79.00 |
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Monin Organic Chocolate Syrup |
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Accessories |
$9.00 |
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Monin Organic Hazelnut Syrup |
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Accessories |
$9.00 |
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Monin Organic Vanilla Syrup |
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Accessories |
$9.00 |
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Papua New Guinea art mug |
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Accessories |
$3.25 |
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Replacement filter mesh 4 & 8 cup |
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Accessories |
$4.95 |
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Replacement Glass 4-cup press |
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Accessories |
$14.00 |
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← Order Subtotal → |
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Shipping & handling: 4.95 for the first 16 oz. package,
1.00 for each additional package |
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Order Total : |
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