Winner's Claim Form

Congratulations, you won a year of coffee.

One free 12 oz bag every month for 12 months. Tell us where it goes and what you'd like in each bag, and we'll take it from there.

Your details

Full name Email (the one you entered the giveaway with) Phone (optional for pickup, required for delivery)

How would you like your coffee each month?

Pick up at our roastery, 37055 Industrial Rd, Livonia Local delivery to my Livonia address (48150, 48152 or 48154)

Whole bean or ground?

Whole bean Ground

Choose your coffee for each month

Roaster's Pick means our roaster sends you the top roast of that month.

Want the same coffee every month? Choose it here to fill all 12.

I understand the prize is non-transferable and has no cash value. It's OK to feature me on Instagram as a winner (optional).

Need to change something later? Email hello@firstlightroasters.com.

First Light Roasters · 37055 Industrial Rd, Livonia, MI · firstlightroasters.com · @firstlightroasters