JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
LOTH Coffee Order Form
Please fill out the questions below to place your coffee order & bring your payment on Sunday to church. And we now have 2-pound bags to offer. Enjoy Drinking Coffee and Doing Good!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Total # of bags
*
If more than 1 of each, please indicate
Your answer
How would you like your coffee beans?
*
Choose
Ground
Whole Beans
Which type of coffee would you like to purchase?
*
Ruli Mountain (Light) - $13.75 ($24.95 for 2-lb)
Muraho Morning (Medium) - $12.75 ($23.75 for 2-lb)
Do Good Blend (Medium-Dark) - $12.75 ($23.75 for 2-lb)
House Blend (Medium-Dark) - $12.75 ($23.75 for 2-lb)
Kira Ikawa (Dark) - $12.75 ($23.75 for 2-lb)
Vooba Espresso Blend (Level 1) - $13.75 ($24.95 for 2-lb)
Vooba Espresso Blend (Level 2) - $13.75 ($24.95 for 2-lb)
Vooba Espresso Blend (Level 3) - $13.75 ($24.95 for 2-lb)
Natural Water Processed Decaf - $13.75 ($24.95 for 2-lb)
Pecan - $13.75
Pecan Decaf - $14.75
Coconut - $13.75
Coconut Decaf - $14.75
Hazelnut - $13.75
Hazelnut Decaf - $14.75
NEW! Iced Coffee Blend - $12.75
Required
Total Cost
*
Your answer
What type of payment will you use?
*
Cash
Check
Credit Card (3% extra charge)
Required
Name & Contact (# or email)
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
