Secure Order Form

Instructions: We offer this Secure Order Form as an alternative to our full-featured Shopping Cart System. For Green Coffee you may use the checkboxes next to the quantity you want, and the name of the coffee as is appears on our Green Coffee Offering List. Typing in the total cost also helps us verify how much you want, but is not necessary. Other Coffee Merchandise (roasters, grinders, brewing equipment, etc.) is entered in the Merchandise Section. Totals, shipping costs, etc. are not required; we'll figure that for you if you prefer. Do not hit the Return key on your keyboard until you are ready to submit your order! Sorry, we have a $15 minimum for domestic orders(not including shipping).

Fill out all pertinent information, including a telephone number and email address (so we can contact you if there is any problem). Please contact us with any questions or problems using this secure form!
Customer Information: Please fill in the fields below --we do need accurate Email and Phone info! UPS charges $5 for an incorrect street address or zip code, please double-check the information you enter!!!
Billing Name:
   
Address:
   
Address:
   
City:
State: Zip Code:
Country (if not U.S.):
   
Phone Number:
   
Email Address:
   


For ordering Merchandise other than Green Coffee, see below:
Green Coffee (raw, unroasted coffee) - Please check one box for the quantity you want, then type in the name of the coffee, and price (entering the price is not required if you want us to add it up for you).
Quantity Coffee Name (from our Green Coffee List)
Price*
$
$
$
$
$
$
$
$
$
$
Merchandise (anything other than green coffee) please type in quantity, item description, and price*.
Quantity Item Description
Price Each
Total Price

$
$

$
$

$
$

$
$

$
$

$
$

$
$

$
$
  Did you meet the $15 Minimum? SubTotal
$
  * It is not mandatory to fill in totals, tax and shipping...we'll do that for you if you prefer. I'm sorry our Secure Order Form does not calculate totals for you (our Shopping Cart System does). Calif. Sales Tax* $
  If you want to estimate your shipping cost, please follow this link. Shipping $
   
TOTAL AMOUNT
$

*Only Residents of California must add 7.25% sales tax on merchandise other than coffee ----coffee (green etc) is a food, and is not taxable.


Payment Information:

Credit Card
Credit Card Type: Credit Card Number:
Expiration Date:
Name of Cardholder:
CVV# (last 3 digits on back of card):
 
Check or Money Order

International Orders Only: You must select the shipment method you prefer. Please read the International Order Page before making a selection!!!
International Orders, please choose one:

Additional comments or instructions (a different "ship to" address, etc.):

Your credit card is not "automatically" charged when you hit the submit button. We only charge your card when we ship the order. If you make any errors, please send another email or order form explaining any corrections. You will receive a confirmation email when the order is being processed. Sweet Maria's does not share any of your information with anyone ...period! Privacy Policy.