Bethany Coffee Club 2026 Membership Form

Bethany Coffee Club 2026 Membership Form

Standard Membership - $60

Includes: 2026 Collectible mug. One 1-pound bag of coffee. Bonus BLC swag.

Preferred Membership - $160

Includes: 2026 Collectible mug. Twelve (12) 1-pound bags of coffee. Bonus BLC swag.

Gift Memberships

If you would like to purchase a gift membership for someone, please use the gift membership form.

Need extra coffee or mugs?

If you have already started your 2026 Coffee Club membership (Standard or Preferred), but would like to purchase additional coffee or mugs, please click here.

Pickup / Shipping

We will ship your items to you for $10 (Standard Membership) or $22 (Preferred Membership), or you can pick up your order at BLC for free.

Renewals

Membership does not automatically renew; your card will only be charged once. We'll send you a reminder next year if you'd like to continue membership! If you have an active membership, you can use this form to order additional coffee.

Questions

Please contact Jake Krier in the Bethany Advancement Department if you have any questions.

Name Name First Last
Email
Phone
Coffee Club Membership
2026 Membership Level

2026 Membership Level Standard Coffee Club Membership - $60 Preferred Coffee Club Membership - $160
Shipping Selection
Standard Membership Shipping Option

Standard Membership Shipping Option Pick up from Bethany Campus - $0 Ship it to me - $10
Preferred Membership Shipping Option

Preferred Membership Shipping Option Pick up from Bethany Campus - $0 Ship it to me - $22
Ship To Ship To
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Coffee Selection

Please select your preferred blend and bean choice.
Blend

Blend Viking Blend (medium roast) - Ground Viking Blend (medium roast) - Whole bean Halvar Blend (dark roast) - Ground Halvar Blend (dark roast) - Whole bean
Variety preference

Variety preference All 12 bags the same Let me choose individually
12-pack Choice

12-pack Choice Viking Blend (medium roast) - Ground Viking Blend (medium roast) - Whole bean Halvar Blend (dark roast) - Ground Halvar Blend (dark roast) - Whole bean
Coffee variety

Please choose the number of bags you would like of each variety. These must add up to 12 total bags. If you choose a different total amount, the charge will remain at $160 and no more than 12 will be included in your package. Extra coffee can be purchased separately; see details above.
Viking Blend (medium roast) - Ground
Viking Blend (medium roast) - Whole bean
Halvar Blend (dark roast) - Ground
Halvar Blend (dark roast) - Whole bean
Note: We'll ship your entire order together in one package.
Additional Donation

Optional. If you would like to make an additional donation along with your Coffee Club membership, please enter the amount here.
$ Dollars . Cents
Be sure to complete payment on the next page. We'll let you know when your order is ready for pickup.

If you need extra coffee or mugs, first begin your membership by completing payment, and then use the Extra Coffee form linked above.
Be sure to complete payment on the next page. You should receive your package within 2 weeks.

If you need extra coffee or mugs, first begin your membership by completing payment, and then use the Extra Coffee form linked above.
$0

Total