Kirkridge Common Grounds Coffee Kirkridge Peaceful Grounds ...
Kirkridge Retreat Center 2495 Fox Gap Road Bangor, PA 18013 Phone: (610)588-1793 Holiday Gift Basket Order Form Shipping Address Bill to: (address as it appears on credit card statement) Name Street/PO City State Zip Phone Quantity Kirkridge Gift Basket
Total
$34.00
Options to be added to Gift Basket
Kirkridge Common Grounds Coffee
$10.50
Pennsylvania Roasted Organic Fair Trade Coffee
Guatemalan Chajul Regular 16 oz.
Kirkridge Peaceful Grounds Coffee
$11.50
Pennsylvania Roasted Organic Fair Trade Coffee
Casscadia Decaf 18 oz.
2 Herbal Teas Decaf and regular variety pack
6 Berry Bars
$8.00 $6.00
6 Plain Truffles
$6.00
6 Almond Truffles
$7.50
Specify Payment Method
Sub total
Check in advance VISA Mastercard Discover
S & H* Total
Card number Exp date Print name as it appears on card
*Shipping & handling cost on baskets $12.65
Total
$34.00
Options to be added to Gift Basket
Kirkridge Common Grounds Coffee
$10.50
Pennsylvania Roasted Organic Fair Trade Coffee
Guatemalan Chajul Regular 16 oz.
Kirkridge Peaceful Grounds Coffee
$11.50
Pennsylvania Roasted Organic Fair Trade Coffee
Casscadia Decaf 18 oz.
2 Herbal Teas Decaf and regular variety pack
6 Berry Bars
$8.00 $6.00
6 Plain Truffles
$6.00
6 Almond Truffles
$7.50
Specify Payment Method
Sub total
Check in advance VISA Mastercard Discover
S & H* Total
Card number Exp date Print name as it appears on card
*Shipping & handling cost on baskets $12.65
