Week 4 Homework
by Paula Payne

Coffee Direct from Costa Rica

Remember, Juan Valdez Drinks Costa Rican Coffee!

Costa Rican Coffee Order Form
Enter the quantity for each item you want to order.
Item Number	Description		Cost	Quantity	Sub Total
123-5667	Costa Rican Coffee - 16 oz. can		$		$
123-5668	Costa Rican Coffee - 32 oz. can		$		$
Do you want your order gift wrapped?
No thank you Beans Paper ($5.76) Mocha Foil Paper ($10.47)					$
Order Subtotal					$
Discounts & Taxes
10% Discount for Orders Over $100					$
Check the box if you live in New Jersey  (6% sales tax will be added to your order)					$
Shipping & Handling
Please make a selection 7 - 10 Business Day ($10.95) 3 Business Day ($22.95) Next Day Delivery ($44.55)					$
Your Order Total:					$
Customer Details
Name:
Address:
City:    State:    Zip:
Telephone:
Email Address:

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