Coffee Starter Kit Print Out Order Form
(print this form and fill out the details necessary, then either fax or mail to us to place your order) When your done, click here to go back, or here for our main site.
To:
Perfect Cup Coffee
C/- Global Link Internet Marketing Services LLC
678 Wells Road
Boulder City NV 89005
(US Toll free fax) - 1 877-276-5198
(In Australia) - 08 8340 1688
Please RUSH my order for the following coffee kit(s),
Please
Select		 Quantity Total
Beginners Pack
Sample 1 Sample 2 Sample 3 Sample 4 Sample 5 3 Cup Espresso Pot
Mild Flavor $59.99
Medium Flavor $59.99
Strong Flavor $89.99
Professional Pack
Sample 1 Sample 2 Sample 3 Sample 4 Sample 5 Mussa 6 Cup Espresso Pot
Mild Flavor $139.99
Medium Flavor $139.99
Strong Flavor $179.99
Total this order (including shipping and handling)
All funds quoted in US$.
Delivery and Payment Details:
First Name:
Last Name:
Email:
Delivery Address:
City:
State:
Zip:
Country:
Credit Card:    (please check one)
Credit Card #:
Expiration Date:    mm/yyyy
Name as it appears on Credit Card:
Authorised Card Signature