Server: Microsoft-IIS/3.0 Date: Thu, 18 Dec 1997 06:33:28 GMT Content-Type: text/html Accept-Ranges: bytes Last-Modified: Thu, 11 Dec 1997 15:32:28 GMT Content-Length: 13403 GMCR Order Form
Please note that this form is NOT an online order form, it is designed to be printed.


Order Form
Mail to: 33 Coffee Lane, P.O. Box 657
Waterbury, VT 05676-0657

Tel. toll-free: 1-800-223-6768
or
Fax toll free: 1-888-GET-GMCR (1-888-438-4627)

Order Key Code: GMCRWEB

Ordered By:

Name:____________________________________

Address:_______________________________________

City:_________________________ ST_____ Zip_______

Day Phone (
......) ___________________________

Ship to (if different from "Ordered by"):

Name:_____________________________________

Address: ___________________________________

City:________________________ ST _____ Zip_________

Day Phone (
...... ) ___________________________

Gift Message____________________________________

Method of Payment:
____ Check or money order enclosed
____ DI....................................._____ MC
____ VI....................................._____ AMEX
____ OP


Credit Card # : ____________________________
Expiration Date ____ - ____
Express Delivery Available
Call 1-800-223-6768 for details
   

*Grind Choices:
W--Whole Beans
I-- Infusion or Percolator (Coarse)
M--
.Manual Drip and all Gold Filters(Medium)

A--Automatic Drip (Fine)
E--Espresso (Extra Fine)
Item# Description Grind* Qty. Price Total
           
           
           
           
           
Free Offer to Web Users:
Use this form when you order, or mention code
GMCRWEB when you call our toll-free number and we will send you a free GMCR thermal mug with your order.
SUBTOTAL  
  SALES TAX**  
  SHIPPING  
  TOTAL  
** Coffee, tea and food are not taxable
Sales tax based on the delivery address to the following:
CT, DC, FL, IL, MA, MD, ME, MI, NJ, NY, OH, PA, RI, VA, VT.
**Shipping is per address, based on standard delivery to 48 continental states.
Up to 3 lbs. $3.95 4-6 lbs $4.50 7 - 10 lbs $4.95. Each additional pound, add 25¢

MAIL PREFERENCE SERVICE:
Occasionally, we make our mailing lists available to firms. If you would prefer not to receive their mailings, please check this box []
Sorry, we cannot accept orders from anyone younger than 18.

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