Cottage Coffee Company - Victoria, BC, Canada

NOTE: You must be a member of the Rotary Club to use this form.
If you are not a Rotary Member please use the General Order Form.

Make cheques payable to: "Rotary Clubs - Project Unity"

Field names in RED are required.

Rotary Club Name:

Rotary Club Contact:

Rotary Club Contact Phone:
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First Name:

Last Name:

Phone Number:
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Email Address:

Your Order: Note: The following are all 1 lb bags.
Coffee Name	Price	Qty.
Brazil Santos	$15.00
Costa Rican Terrasu	$15.00
Colombian Supremo	$15.00
Espresso	$15.00
French Roast	$15.00
Fog Cutter	$15.00
Breakfast Blend Decaf	$15.00

Sumatra Mandheling	$17.00
Kenya AA	$17.00

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Great Coffee - Better World