http://www.communitycoffee.com/ccc/Content/OSCPromoSubmission/
This is a bit different. It's 2 samples of coffee but it goes to a friend, so if you want it..put your name as the receiver.
It's easy to fill out...first thing will be Sender (that addy will get the junk email) Then fill out the.. Recipient Information ( That person gets the coffee and you get to send a message with it)