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Central Perc Coffee Printable Order Form

Welcome to our printable order form. Send us your order by fax (250-964-6160) or mail. We accept cheques, money orders, Visa and Mastercard. All prices listed are in Canadian Funds (CDN) and do not include applicable taxes or shipping. Shipping costs will depend on your location and will be confirmed prior to processing the order. We sell to Canadian customers only. Please complete all fields. Your information will be kept private and confidential and will not be distributed to any third parties for marketing or any other purpose.

Personal Information

Name: Email: <INPUT TYPE="TEXT" NAME="orderemail" SIZE="30" MAXLENGTH