Glanford Music Coffee Fundraiser Order Form Level Ground Coffee is sold in 300 g pkgs, and most varieties are available as whole beans or ground. Coffee is sold at the same price of $10 each. This fundraiser benefits individual student credit accounts. $3.30 of each coffee pkg sold are credited to assist students with music related expenses. Please ensure form is filled in properly to receive proper credit, and please use numbers instead of check marks to help processing run smoothly. Please make all cheques payable to “Glanford Music Parents Association” or “GMPA” and thanks for your support!!! Student Name*: __________________________________________________________________ Orders must be returned to the school by the 15th of this month. Items will be distributed later in the week. Grade/Advisory*: _________________________________________________________________ Contact Phone Number*: __________________________________________________________ Customer Name Phone COLUMBIA 100% Pure Columbian Coffee DARK or DECAF 300 g Dark BN GRD DECAF BN GRD BOLIVIA Organic Coffee MEDIUM ONLY 300 g Medium BN GRD PERU Organic Coffee MEDIUM ONLY 300 g TANZANIA Organic Coffee DARK ONLY 300 g Medium BN GRD Dark BN GRD ETHIOPIA Organic Coffee MEDIUM ONLY 300 g Medium BN GRD CONGO Organic Coffee MEDIUM ONLY 300 g ESPRESSO BLEND 300 g FRENCH ROAST 300 g Total Number of Pkgs Ordered (A) TOTAL AMT $10 Each Medium BN GRD BEAN BEAN *Must Provide BN = Whole Bean GRD = Ground Total Submitted with these Orders: __________
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