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    HawaiianQueen Coffee
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    This document is an order form for Hawaiian Queen Coffee. It lists various coffee varieties available for purchase, including Estate, Extra Fancy, Peaberry, and Private Reserve coffees in whole bean or ground forms. The order form provides the product descriptions, prices per unit, and space to include quantities for each item ordered. It also requests billing and shipping information from the customer.

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    This document is an order form for Hawaiian Queen Coffee. It lists various coffee varieties available for purchase, including Estate, Extra Fancy, Peaberry, and Private Reserve coffees in whole bean or ground forms. The order form provides the product descriptions, prices per unit, and space to include quantities for each item ordered. It also requests billing and shipping information from the customer.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    10 views5 pages

    Fax Email Order Form

    Uploaded by

    HawaiianQueen Coffee
    This document is an order form for Hawaiian Queen Coffee. It lists various coffee varieties available for purchase, including Estate, Extra Fancy, Peaberry, and Private Reserve coffees in whole bean or ground forms. The order form provides the product descriptions, prices per unit, and space to include quantities for each item ordered. It also requests billing and shipping information from the customer.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    of 5

    HAWAIIAN QUEEN COFFEE ORDER FORM

    Date: Email: BILLING Addrs: City State Zip


    73-5577 Olowalu Street Suite A Kailua Kona, HI 967402613 Toll Free: 888-452-5662 Tel: 808-326-2288 Fax: 808-326-2290 www.hawaiianqueencoff ee.com info@hawaiianqueencoff ee.com

    Name: SHIPPING

    Ctry Tel Fax CC # Exp: CW: Signature Full Whole Ground Medium City Dark Each 15.95 27.95 19.95 32.95 21.25 34.95 21.95 39.95 20.95 34.95 6.95 12.95 QTY Amount -

    Description Estate - 8 oz. Estate - 1 lb Private Res - 8 oz. Private Res - 1 lb Extra Fancy - 8 oz. Extra Fancy - 1 lb Peaberry Coffee - 8 oz. Peaberry Coffee - 1 lb Decaffeinated - 8 oz. Decaffeinated - 1 lb 10% Kona Blend - 8 oz. 10% Kona Blend - 1 lb

    Tax is waived if proper resale certificate is provided


    Please tell us your preferred mode of shipment:

    Sub-Total (this page) SHIPPING TAX (4.1667%) TOTAL

    NOTES:

    WHOLE BEAN DESCRIPTION 10% Kona Coffee BlendMedium-1 lb 10% Kona Coffee BlendMedium-8 oz Decaffeinated-Medium-1 lb Decaffeinated-Medium-8 oz Estate -Dark-1 lb Estate -Dark-5 lbs Estate -Dark-8 oz Estate -Full City-1 lb Estate -Full City-5 lbs Estate -Full City-8 oz Estate -Medium-1 lb Estate -Medium-5 lbs Estate -Medium-8 oz Extra Fancy-Dark-1 lb Extra Fancy-Dark-5 lbs Extra Fancy-Dark-8 oz Extra Fancy-Full City-1 lb Extra Fancy-Full City-5 lbs Extra Fancy-Full City-8 oz Extra Fancy-Medium-1 lb Extra Fancy-Medium-5 lbs Extra Fancy-Medium-8 oz Peaberry-Dark-1 lb Peaberry-Dark-5 lbs Peaberry-Dark-8 oz Peaberry-Full City-1 lb Peaberry-Full City-5 lbs Peaberry-Full City-8 oz PRICE 12.95 6.95 34.95 20.95 27.95 120.95 15.95 27.95 120.95 15.95 27.95 120.95 15.95 34.95 157.95 21.25 34.95 157.95 21.25 34.95 157.95 21.25 39.95 188.95 21.95 39.95 188.95 21.95 QTY

    DESCRIPTION

    PRICE

    QTY -

    10%KonaCoffeeBlend-Med-1lb 12.95 - 10%KonaCoffeeBlend-Med-8oz 6.95 - Decaffeinated-Medium-1 lb - Decaffeinated-Medium-8 oz Estate -Dark-1 lb Estate -Dark-5 lbs Estate -Dark-8 oz Estate -Full City-1 lb Estate -Full City-5 lbs Estate -Full City-8 oz Estate -Medium-1 lb Estate -Medium-5 lbs Estate -Medium-8 oz Extra Fancy-Dark-1 lb Extra Fancy-Dark-5 lbs Extra Fancy-Dark-8 oz Extra Fancy-Full City-1 lb 34.95 20.95 27.95 120.95 15.95 27.95 120.95 15.95 27.95 120.95 15.95 34.95 157.95 21.25 34.95 157.95 21.25 34.95 157.95 21.25 39.95 188.95 21.95 39.95 188.95 21.95 39.95

    - Extra Fancy-Full City-5 lbs - Extra Fancy-Full City-8 oz - Extra Fancy-Medium-1 lb - Extra Fancy-Medium-5 lbs - Extra Fancy-Medium-8 oz Peaberry-Dark-1 lb Peaberry-Dark-8 oz Peaberry-Full City-1 lb Peaberry-Full City-5 lbs

    - Peaberry-Full City-5 lbs - Peaberry-Full City-8 oz - Peaberry-Medium-1 lb

    Peaberry-Medium-1 lb Peaberry-Medium-5 lbs

    39.95 188.95

    - Peaberry-Medium-5 lbs - Peaberry-Medium-8 oz - Private Reserve -Dark-1 lb - Private Reserve -Dark-5 lbs - Private Reserve-Dark-8 oz - Private Reserve-Full City-1 lb

    188.95 21.95 32.95 145.95 19.95 32.95

    Peaberry-Medium-8 oz 21.95 Private Reserve -Dark-1 lb 32.95 Private Reserve -Dark-5 lbs 145.95 Private Reserve-Dark-8 oz 19.95 Private Reserve-Full City1 lb 32.95 Private Reserve-Full City5 lbs 145.95 Private Reserve-Full City8 oz 19.95 Private Reserve-Medium1 lb 32.95 Private Reserve-Medium5 lbs 145.95 Private Reserve-Medium8 oz 19.95 Total Column 1

    - Private Reserve-Full City-5 lbs 145.95 - Private Reserve-Full City-8 oz - Private Reserve-Medium-1 lb 19.95 32.95

    - Private Reserve-Medium-5 lbs 145.95 - Private Reserve-Medium-8 oz Total Column 2 Total Column 1 Sub-Total 19.95

    PURCHASE ORDER FOR INDIVIDUAL SALES AND RETAILERS


    Date: Email: BILLING Address: City State Zip Country 73-5577 Olowalu Street Suite A Kailua Kona, HI 96740-2613 Toll Free: 888-452-5662 Tel: 808-326-2288 Fax: 808-326-2290
    www.hawaiianqueencoffee.com info@hawaiianqueencoffee.com

    Name:

    SHIPPING

    Tel Fax CC # Exp: CW: Signature

    Description Estate - 8 oz. Estate - 1 lb Private Res - 8 oz. Private Res - 1 lb Extra Fancy - 8 oz. Extra Fancy - 1 lb Peaberry Coffee - 8 oz. Peaberry Coffee - 1 lb Decaffeinated - 8 oz. Decaffeinated - 1 lb Description 10% Kona Blend - 8 oz. 10% Kona Blend - 1 lb

    Whole

    Ground Medium Full City

    Dark

    Each 27.95 27.95 19.95 32.95 21.25 34.95 21.95 39.95 20.95 34.95

    QTY

    Amount

    Whole

    Ground Medium Full City

    Dark

    Each 6.95 12.95

    QTY

    Amount

    Tax is waived if proper resale certificate is provided Please tell us your preferred mode of shipment: NOTES:

    Sub-Total (this page) #REF! DISCOUNT SHIPPING TAX (4.667%) TOTAL

    USE THIS SIDE IN ADDITION OR RATHER THAN THE FRONT SIDE TO PLACE YOUR ORDER IF YOU PREFER
    COLLUMN 1 COLLUMN 2

    WHOLE BEAN DESCRIPTION 10% Kona Coffee Blend-Medium-1 lb 10% Kona Coffee Blend-Medium-8 oz Decaffeinated-Medium-1 lb Decaffeinated-Medium-8 oz Estate -Dark-1 lb Estate -Dark-5 lbs Estate -Dark-8 oz Estate -Full City-1 lb Estate -Full City-5 lbs Estate -Full City-8 oz Estate -Medium-1 lb Estate -Medium-5 lbs Estate -Medium-8 oz Extra Fancy-Dark-1 lb Extra Fancy-Dark-5 lbs Extra Fancy-Dark-8 oz Extra Fancy-Full City-1 lb Extra Fancy-Full City-5 lbs Extra Fancy-Full City-8 oz Extra Fancy-Medium-1 lb Extra Fancy-Medium-5 lbs Extra Fancy-Medium-8 oz Peaberry-Dark-1 lb Peaberry-Dark-5 lbs Peaberry-Dark-8 oz Peaberry-Full City-1 lb Peaberry-Full City-5 lbs Peaberry-Full City-8 oz Peaberry-Medium-1 lb Peaberry-Medium-5 lbs Peaberry-Medium-8 oz Private Reserve -Dark-1 lb Private Reserve -Dark-5 lbs Private Reserve-Dark-8 oz Private Reserve-Full City-1 lb Private Reserve-Full City-5 lbs Private Reserve-Full City-8 oz Private Reserve-Medium-1 lb Private Reserve-Medium-5 lbs Private Reserve-Medium-8 oz Total Column 1

    PRICE 12.95 6.95 34.95 20.95 27.95 120.95 15.95 27.95 120.95 15.95 27.95 120.95 15.95 34.95 157.95 21.25 34.95 157.95 21.25 34.95 157.95 21.25 39.95 188.95 21.95 39.95 188.95 21.95 39.95 188.95 21.95 32.95 145.95 19.95 32.95 145.95 19.95 32.95 145.95 19.95

    QTY

    GROUND DESCRIPTION 10%KonaCoffeeBlend-Med-1lb 10%KonaCoffeeBlend-Med-8oz Decaffeinated-Medium-1 lb Decaffeinated-Medium-8 oz Estate -Dark-1 lb Estate -Dark-5 lbs Estate -Dark-8 oz Estate -Full City-1 lb Estate -Full City-5 lbs Estate -Full City-8 oz Estate -Medium-1 lb Estate -Medium-5 lbs Estate -Medium-8 oz Extra Fancy-Dark-1 lb Extra Fancy-Dark-5 lbs Extra Fancy-Dark-8 oz Extra Fancy-Full City-1 lb Extra Fancy-Full City-5 lbs Extra Fancy-Full City-8 oz Extra Fancy-Medium-1 lb Extra Fancy-Medium-5 lbs Extra Fancy-Medium-8 oz Peaberry-Dark-1 lb Peaberry-Dark-8 oz Peaberry-Full City-1 lb Peaberry-Full City-5 lbs Peaberry-Full City-5 lbs Peaberry-Full City-8 oz Peaberry-Medium-1 lb Peaberry-Medium-5 lbs Peaberry-Medium-8 oz Private Reserve -Dark-1 lb Private Reserve -Dark-5 lbs Private Reserve-Dark-8 oz Private Reserve-Full City-1 lb Private Reserve-Full City-5 lbs Private Reserve-Full City-8 oz Private Reserve-Medium-1 lb Private Reserve-Medium-5 lbs Private Reserve-Medium-8 oz Total Column 2 Total Column 1 Sub-Total

    PRICE 12.95 6.95 34.95 20.95 27.95 120.95 15.95 27.95 120.95 15.95 27.95 120.95 15.95 34.95 157.95 21.25 34.95 157.95 21.25 34.95 157.95 21.25 39.95 188.95 21.95 39.95 188.95 21.95 39.95 188.95 21.95 32.95 145.95 19.95 32.95 145.95 19.95 32.95 145.95 19.95

    QTY

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