Church & Non-Profit Account Application

Organization Information

Organization Name *

Type of Organization *

Church
Non-Profit

501(c)(3) or Tax Exempt ID (if applicable)

Website or Social Media (optional)

Contact Person

First Name *

Last Name *

Role/Title

Phone *

Email *

Billing Address

Street *

City *

State *

ZIP *

Shipping Address (If different)

Shipping Street

Shipping City

Shipping State

Shipping ZIP

Ordering Preferences

How do you plan to use Main Street Roasters coffee? *

Church Lobby/Hospitality
Staff Use
Gifting
Events or Conferences
Fundraising
Other

If other, please explain:

Preferred contact method *

Phone
Email

Preferred Pickup/Shipping Method *

Local Pickup
Local Delivery (pre-approval required)
Ship via UPS/Carrier

Church & Non-Profit Partnership Agreement

By signing below, I acknowledge and confirm that I have read and understand the Main Street Roasters Church & Non Profit Partnership Policy. I agree to use the provided discount solely for church or non-profit-related use, and not for resale or personal use. I understand and agree to the following:

Minimum Orders: 10-pound minimum per variety is required for each order.

Pricing: Subject to change without notice.

Product Availability: Coffee is roasted to order, with a typical turnaround of 5-7 business days.

Payment: Orders must be paid for at the time they are placed.

Shipping: Free local pickup is available; shipping costs are additional.

Policy Updates: Main Street Roasters reserves the right to modify church & non-profit partnership terms at any time.

Authorization

I acknowledge that violation of these terms may result in removal from the partnership program.

Authorized Representative Name: *

Title/Role: *

Signature *

Clear

Date *

Thanks for getting in touch!

We appreciate you contacting us concerning a church or non-profit partnership. One of our team members will get back in touch with you soon!

Have a great day!

Thanks for getting in touch!

We appreciate you contacting us concerning a church or non-profit partnership. One of our team members will get back in touch with you soon!

Have a great day!

Sip Solo - Peppermint White Mocha Single-Serve Flavored Syrup

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Main Street Roasters

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