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coffee-takeout
Potosi Elementary School
Submit your order prior to 8:00 pm for next day delivery.
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coffee-takeout
1
Name
*
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First Name
Last Name
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2
Email
*
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example@example.com
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3
Phone Number
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Area Code
Phone Number
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4
My Products
My Bag
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
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ORDER SUMMARY
Tax
USD
Subtotal
USD
Total cost
USD
Coffee
+
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Size
Quantity
Price
8oz
$
2.00
16oz
$
2.00
24oz
$
4.00
Tea
+
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Size
Quantity
Price
8oz
$
2.00
16oz
$
2.00
24oz
$
4.00
Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Date
Postal Code
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