JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Wine Country Tai Chi Society Tea Orders
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Introducing our clubs own unique blends: Lucky Dragon 2024 and Orchard Bliss
Here are the blend details...
Name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Lucky Dragon 50 gm bag - $15
*
yes
no
Lucky Dragon 50 gm bag - how many?
*
1
2
3
4
5
none
Lucky Dragon 100 gm bag $27
*
yes
No
Lucky Dragon 100 gm bag - how many?
*
1
2
3
4
5
none
Orchard Bliss 50 gm bag $15
*
yes
No
Orchard Bliss 50 gm bag - how many?
*
1
2
3
4
5
none
Orchard Bliss 100 gm bag $27
*
yes
no
Orchard Bliss 100 gm bag - how many?
*
1
2
3
4
5
none
Final tea total amount
*
Your answer
Method of Payment
*
Cash payment in class
E-transfer, answer "tea" (please indicate in the message section that the payment is for the tea purchase)
Option 1
Clear selection
Thank you!
Wince Country Tai Chi Society thanks you for purchasing the tea and sharing it with family and friends. Together we share the word about Tai Chi, community, and connection. Enjoy sipping away!
Love the tea you're with! Thank you to the Cape Breton Tea Company for creating these special blends. www.capebretontea.ca
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
