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    Christians Aware    
Order Form for Coffee

Enter the quantity required against each item you want.  Leave blank those you do not want.  Enter your personal details at the end of the form, and print the form.  Make your cheque payable to "Christians Aware". Send the form with your cheque to: Sales, Christians Aware, 2 Saxby Street,  LEICESTER, LE2 OND. Your goods will then be despatched.

Please provide the following ordering information:

Munguishi Coffee Beans Dark Roast £3-00+£1.50  Munguishi 750g Coffee Beans Dark Roast £5.00+£2.00

I enclose my cheque to the value of :

QTY	DESCRIPTION
	Munguishi Coffee Beans Medium Roast	£3-00+£1.50
	Munguishi Coffee Fine Ground Dark Roast	£3-00+£1.50
	Munguishi Coffee Fine Ground Medium Roast	£3-00+£1.50

Please send the items as indicated in the form above to:
Your Name

Street address
Address (cont.)
City
County
Postal code
Email
Phone (optional)
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