First Name

Last Name

Email Address

Address (street, city, state, zip)

Origin/Blend Origin/Blend Organic Guatemalan Organic Honduran G&H Blend (Organic Guatemalan + Organic Honduran) Other/Request: please specify in Message area

Roast Roast Light Roast Medium Roast Medium/Dark Roast Dark Roast French/Espresso Roast No Preference

Quantity Quantity 1 bag of 12 oz 2 bags (12 oz each) 3 bags (12 oz each) 4 bags (12 oz each) more? specifiy in the message field below

Shipping Shipping $5 for up to 2 bags - Standard USPS Shipping (1-3 days in Upper Midwest, 5-7 days everywhere else) $10 for up to 4 bags - Standard USPS Shipping (1-3 days in Upper Midwest, 5-7 days everywhere else) 2-day Shipping (USPS or UPS) Overnight Shipping (Fedex)

Message