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PeaceWorks Holiday Coffee Sale!
$20/bag includes shipping with personalized card
1.
Customer contact info
Name
Address
City/Town
State/Province
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
Email Address
Phone Number
2.
Order #1
Please list the
number
of bags,
type
of coffee (dark/light, ground/whole bean) AND the
name and mailing address of recipient
.
*e.g. 2 bags dark roast/ground for John Smith, 1 Bird Place, Maplewood, NJ
3.
Order #2
Please list the
number
of bags,
type
of coffee (dark/light, ground/whole bean) AND the
name
and
mailing address of recipient
.
*e.g. 2 bags dark roast/ground for John Smith, 1 Bird Place, Maplewood, NJ
4.
Order #3
Please list the
number
of bags,
type
of coffee (dark/light, ground/whole bean) AND the
name
and
mailing address of recipient
.
*e.g. 2 bags dark roast/ground for John Smith, 1 Bird Place, Maplewood, NJ
5.
Calculate
total
items and cost of order: $20 per/bag coffee plus crafts
*e.g. 3 bags coffee ($60) plus 2 baskets ($50) = $110 (total)
6.
Payment method
*Please choose a payment option and submit payment
after
submitting this form. We'll send you a confirmation when we receive it!
PayPal at https://peaceworks.org/donate/
Send Check to PeaceWorks c/o Johnston
1125 Woolley Ave., Union, NJ 07083
Venmo: @Austin-Haeberle
7.
Thank you for your support!
Please contact us with any questions at
cinemaus@gmail.com
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