Central Perc Coffee Printable Order Form

Welcome to our printable order form. Send us your order by fax (250-964-6160) or mail. We accept cheques, money orders, Visa and Mastercard. All prices listed are in Canadian Funds (CDN) and do not include applicable taxes or shipping. Shipping costs will depend on your location and will be confirmed prior to processing the order. We sell to Canadian customers only. Please complete all fields. Your information will be kept private and confidential and will not be distributed to any third parties for marketing or any other purpose.

Personal Information

Name: Email:
Address: City:
State/Prov: Country:
Postal/Zip: Phone:

Order Information

lbs Indicate Coffee Variety Roast Grind
       

Choose your preferred Method of Payment

Visa Mastercard Cheque Money Order
Your credit card no: Expiry date:
 
If you prefer not to include your credit card no, we can call you to confirm your order and get your credit card info. When is a good time to contact you:

You can include any extra information about your order including custom color combinations in the comments field below. If you have any questions about our service, guarantees, delivery methods etc....you can include them here.
Fresh Roasted Organic Arabica Coffee from Central Perc Coffee
7912 Melbourne Place Prince George B.C. V2N 3V5
Phone: 250-964-6127 Fax: 250-964-6160
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