Order Form

Name ___________________________________________________________

Address__________________________________________________________

City_____________________________State________Zip_________________

Phone___________________________Email____________________________

Zapatista Fair trade, Organic, Shade Grown Coffee.

Medium Roast ---------------------- $10.00/lb x Quantity______ = Total________

Espresso Roast --------------------- $10.00/lb x Quantity______ = Total________

Dark Roast -------------------------- $10.00/lb x Quantity______ = Total_______

We do not accept credit cards. Cash or checks made out to "CASH" are welcome.
We'll contact you by phone and/or email when we receive your order so you may pick it up!