705-457-HOPE (4673)
hope@haliburtonpregnancycentre.ca
187 Highland Street, Unit #8
Box 1143, Haliburton ON, K0M 1S0

Coffee Order Form

Click here to find out more about our coffee fundraiser (prices, blends, etc.)

Your Contact Information

Name*:
Email Address*:
Phone*:

Your Order

You can order up to 4 items at a time.
Each 12 oz. bag of coffee is $12. Payment is due upon pickup.
1. Blend 
Grind
Ground
Beans
Quantity

2. Blend 
Grind
Ground
Beans
Quantity

3. Blend 
Grind
Ground
Beans
Quantity

4. Blend
Grind
Ground
Beans
Quantity

Coffee starts with what letter?
(Hint: the answer is c)



Thank you!
We will contact you to confirm your order

Click here to find out more about our coffee fundraiser (prices, blends, etc.)

Thanks for your support!