Our Coffee Barn
N8346 County Road I
Spring Valley, WI� 54767
http://ourcoffeebarn.com
Phone 877-265-2652
Fax 877-282-6275������
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Ship To____________________________________� Billing
Name_______________________________ �
Address___________________________________�� Billing
Address____________________________ �
__________________________________________��
___________________________________________ �
E-mail ____________________________________�� Billing Phone_______________________________
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Subtotal�� _____________�������
����������������� WI
residents please add 5.5% tax on all items other than beans��� _____________
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����������������������������� We will calculate
shipping charges once we have your subtotal���
_____________
We will
then notify you of your total and collect payment before processing�� TOTAL� ____________
Payment
method: □Check or Money Order (Your order
will ship once payment is received)
□American Express��� □Discover���� □MasterCard��� □Visa
Card#___________________________________________���� Expiration Date__________________
Address on
card if different from above__________________________________________________
The most efficient way to order is on our safe and secure
internet store which is SSL encrypted; however, orders may be placed by mail,
phone or fax using this order form.�
Please contact us for current prices, shipping costs and available
colors on equipment.� Thank you.