A fundraiser for: checks payable to: Freshly Roast Ground Coff Harmony Decaf Sunrise Breakfast Bold Reserve Hazelnut Crème Pumpkin Spice French Vanilla Caramel Crème $12.50 $12.50 $12.50 $12.50 $12.50 $12.50 $12.50 NAME Example. Jones/325 Samson St. Jones/325 Samson St. Jones/325 Samson St. Jones/325 Samson St. 2 2 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. ADD TOTAL QTY’s SOLD HERE --> A B C D E F G Seller’s Name ______________________________________________ ORDERS DUE: (Orders ship 6-1 INSTRUCTIONS from coordinator: ted Specialty Coffees Artisan Loose Tea (makes 35-45 cups) fee Whole K-Kups Caramel Crème Chocolate Raspberry Heritage Organic Sunrise Breakfast Bold Reserve Heritage Organic Sunrise Breakfast Bold Reserve Salted Caramel Variety Pack-flavors Earl Grey Welsh Morning Green T Mango Paradise Passion Organic Green Sencha Organic Bengal Black Berry Basket caf-free Mountain Gold caf-free Tea Infuser Basket $12.50 $12.50 $14 $12.50 $12.50 $14 $12.50 $12.50 $12.50 $12.50 $12.50 $12.50 $12.50 $12.50 $12.50 $12.50 $12.50 $12.50 2 G H I J K L M N O P Q R S T U V W X _ Class:______________ 12 days after due date) Total Collected at time of order entry:____ [email protected] 610-985-8075 Cocoa & Chai Short- bread Cookies Tea Infuser Basket Orinoco Organic Cocoa Classic Natural Cocoa Bombay Chai Latte Vanilla Bean Espresso Choc Chip Customer total items Customer total due Paid? $ 8 $12 $10 $10 $ 9 $ 9 1 5 5 9 Y Z AA BB CC DD Ver.8.17 ______ Uncollected:_________ Donations:___________