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Name:
   
 
 
 
Email Address:
   
 
 
 
What type of beans would you like? ($15 per pound) You may select more than one.
 
Brazilian
 
Ethiopian
 
Guatemalan
 
Papa New Guinea
 
Rwandan

 
 
 
Total quantity?
 
 
 
What kind of roast (how strong) would you like your beans? You may select more than one roast if you have more than one type of beans selected.
 
Very light
 
Light
 
Medium-Light
 
Medium
 
Medium-Dark
 
Dark
 
Very Dark
 
To Hell and back

 
 
 
Would you like your beans grounded?
 
Yes
 
No
 
 
 
Would you like to add flavoring? (Cost $1 more) You may select more than one flavoring if you have more than one beans selected.
 
No
 
Almond
 
Cinnamon
 
French Vanilla
 
Hazelnut
 
Peppermint

 
 
 
If you selected more than one type of beans/roast/flavoring please specify which roast/flavoring goes with which beans.
   
 
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