Chateau Gourmet Coffee Company Order Form

CHATEAU GOURMET COFFEE COMPANY ORDER FORM

Please Print and Send by Mail to
Chateau Gourmet Coffee Company

Make Checks payable to:
Chateau Gourmet Coffee Company
736 East Avenue
Brockport, NY 14420
phone: (716) 637-3338

Name:
Phone number:
email address:
Postal address:
Shipping address (if different):
City:                         State:               Zip:

Quantity     Weight     Description    Unit Price     Total










Merchandise Total 
NYS Residents add 8%tax 
Shipping and Handling     $3.50 
TOTAL ENCLOSED:


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Updated 5/9/96