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This is your Order Form. Please download, fill in the form, save it, and e-mail it back to us @: email@example.com Thanks!
by: Adam, 1 pages
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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