~ Manos de Café Order Form ~

Manos de Café is a project of International Alliance for Missions, Inc.
www.coffeeonline.org

~ Manos de Café Order Form ~
High Ground Honduran Specialty Coffee

* Required Information

Team Leader Contact Information
*Leaders Name:		Cell Phone in Honduras:
*Email Address:		Phone in Honduras:
Coffee/Flight Information as applicable for delivery.
Coffee will be delivered: Please check and complete ONLY one of the following!

On arrival	City of arrival:	Airline:
	Time of arrival:	Flight number:

On departure	City of departure:	Airline:
	Time of departure:	Flight number:

To be decided	To be decided - Comments:

	Please choose how many 1 lb. bags of Whole Bean and/or Ground coffee you are ordering.			TOTAL Amount Please note: Amount below does not include $5.00 Fee for C.O.D. shipments!
	Ground	Whole Bean	Cost per lb.	U.S. Dollars (click box for total)
TOTALS			6.00 USD	$ .00

PAY VIA PAYPAL UPON RECEIPT OF INVOICE AND SAVE $15.00

SAVE $10.00 DISCOUNT ON TOTAL COST PLUS
SAVE $5.00 ON C.O.D. CHARGES

Thank you for supporting our mission.