Covenant Don Justo Coffee Order Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

During the COVID-19 pandemic, we are taking coffee orders online. Covenant's team will fill your order and be in touch with how you can pick up your order OR we will drop it by your house. We appreciate your support for Don Justo during this crazy time! (If you have questions, please contact Lisa Albers at 515-238-2487.)

*Consider buying an extra bag and donating it to an essential worker as a thank you for all they are doing!

First and Last Name *

Home address (house number/street with city and zip code) *

Best phone number to reach you *

Please indicate how many 1 lb CAFFEINATED bags of coffee and what type. Choices are: Medium Roast Ground, Medium Roast Whole Bean, Dark Roast Ground, Dark Roast Whole Bean, French Roast Ground, French Roast Whole Bean, Snickeroo Ground, Snickeroo Whole Bean, Chocolate Raspberry. ($12 per bag)

Please indicate how many 5 lbs CAFFEINATED bags of coffee and what type. Choices are: Medium Roast Ground, Medium Roast Whole Bean, Dark Roast Ground, Dark Roast Whole Bean, French Roast Ground, French Roast Whole Bean, Snickeroo Ground, Snickeroo Whole Bean, Chocolate Raspberry. ($55 per bag)

Please indicate how many 1 lb DECAFFEINATED bags of coffee and what type. Choices are: Medium Roast Ground, Medium Roast Whole Bean, Dark Roast Ground, Dark Roast Whole Bean, Snickeroo Ground, Snickeroo Whole Bean. ($12 per bag)

Please indicate how many 5 lbs DECAFFEINATED bags of coffee and what type. Choices are: Medium Roast Ground, Medium Roast Whole Bean, Dark Roast Ground, Dark Roast Whole Bean, Snickeroo Ground, Snickeroo Whole Bean. ($57 per bag)

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Covenant Presbyterian Church. Report Abuse

Forms