A&E Custom Coffee Roastery- Place An Order

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A&E Custom Coffee Roastery

A & E Custom
Coffee Roastery
603-578-3338
Email Us!

A&E Custom Coffee Roastery Order Form

Monthly Custom Coffee Home Delivery --- $8.99/bag*

Enter Delivery Start Date:

Pick One:
	Short (1 bag/mo)
	Tall (2 bags/mo)
	Grande (4 bags/mo)

Pick One:
	World Coffee Tour
	Specific Coffee Choice:

Pick One:
	Whole Bean
	Ground

* Plus Shipping and Handling

One Time Roast-to-Order Shipment --- $9.75/bag*

Enter Delivery Date:

Enter Number:
Number of Bags:

Select Coffee Choice:

Pick One:
	Whole Bean
	Ground

* Plus Shipping and Handling

Custom Coffee Gift Certificate --- $9.75**

Enter Number:
Number of Gift Certificates:

Pick One:
	World Coffee Tour
	Specific Coffee Choice:

Pick One:
	Whole Bean
	Ground

** Plus Shipping and Handling

Personal Information

1. Name:

2. Phone Number:

3. Email Address:

4. Are you a:

New Customer

Returning Customer

5. Check if you wish to be contacted regarding the following items:

Custom Coffee Baskets Custom Labeling Coffee Tasting Party

6. Comments:

Shipping and Handling Rates
A&E Custom Coffee Roastery uses the United States Postal Service for shipping. The rate is the exact shipping cost, based on weight and zip code zone, plus 50 cents handling. The total shipping and handling cost will be given once the order and delivery address are confirmed.

A&E Custom Coffee Roastery will contact you by phone or email to obtain payment and delivery information.

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