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order form

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Content Preview
FRESH ROAST COFFEE ROASTERS
P.O. Box 374
Kingfield ME 04947

ORDER FORM

For purchases of roasters and parts with Money Order and Personal Check Payments Only.

Name: ____________________________________________Date:______________

Shipping Address: _____________________________________________________

City or Town: ______________________State or Province: _____________________

Country: __________________________Mailing Code: ________________________

To Confirm Receipt of Your Order:
Email Address: ________________________________________________________

To Confirm Accuracy of Your Shipping Address, if necessary:
Your Telephone Number: _________________________Mobile: __________________

Your Order:
Item:_____________________________________Price: ________________

Item:_____________________________________Price: ________________

Item:_____________________________________Price: ________________









Total: ________________

Print this form and complete. Make Money Orders and Checks payable to FRESH
ROAST; and mail to FRESH ROAST, P.O. Box 374, Kingfield ME 04947. The above
information will be held privately and securely, and wil never be shared. Thank you
so much. Your order with be expedited as quickly as possible; and wil be shipped as
soon as your funds are cleared.
















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