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Order Placed By:

Name

Address

City, State & ZIP

Telephone:

E-mail:

Ship To:

Name

 Address

 City, State & ZIP

 Telephone:

 E-mail:

Product 

Quantity

Unit Rate

Total Value

Gourmet Colombian Coffee, 17.6 OZ/500g

 

$10.00

 

Gourmet Ceylon Tea Bags (100 Tea Bags)

 

$7.00

 

 Fundraising effort for the benefit of:

Name of Organization

 

 

Contact Person 

 

Phone Number

 

Mailing Address

 

 

City, State, ZIP 

 

 Mail Order to: Nonprofit Fundraising Network, LLC, P.O. Box # 711371, Oak Hill, VA 20171. 

Please make payment by check drawn in favor of: Nonprofit Fundraising Network, LLC.

Questions? Call Christine @ (614) 865-0243

 

 

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Last modified: June 06, 2003