Participants Name:________________________________________________________

Place of Employment:______________________________________________________

Phone Number:___________________________________________________________

Email Address:___________________________________________________________

Experience:______________________________________________________________

Mailing Address:__________________________________________________________

Signature Drink Name:_____________________________________________________

*Please include check or money order made out to Kona Joe Coffee to secure your spot in the 2007 Kona Signature Cup. Space is limited!

Fax completed form to 808-322-9800

Mail entry form and check to:

Signature Cup

C/O Kona Joe Coffee

79-7346 Mamalahoa Hwy

Kealakekua, HI 96750

The 2007 Kona Signature Cup is sponsored by The Kona Coffee Festival, Kona Joe Coffee LLC, and Johnson Brothers Distributing of Hawaii.