Initial Cookie Order
Initial Cookie Orders and Rewards Selection are due Saturday, January 22nd at 11:00pm
Parent /guardian Name*
First Name Last Name
Email*
example@example.com
Phone Number*
Area Code Phone Number
Girl Name*
First Name Last Name
Click the green box to begin selection. Click Submit when all fields have been entered.
If you have more than one girl participating in cookie sells, complete one form per girl.

Cookie Initial Order
INITIAL COOKIE ORDER
Please enter total boxes for each cookie, DO NOT INCLUDE Digital Cookie - Girl Delivered (in-person). AGAIN, ORDER BY INDIVIDUAL BOXES NOT BY CASE. DEADLINE IS JANUARY 22 BY 11PM
Initial Order
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Adventurefuls$5.00

Quantity

Lemon Ups$5.00

Quantity

Trefoils$5.00

Quantity

Do-si-dos$5.00

Quantity

Samoas$5.00

Quantity

Tagalongs$5.00

Quantity

Thin Mints$5.00

Quantity

Girl Scout S'mores$6.00

Quantity

Toffee Tastic$6.00

Quantity

Total $0.00
CONTINUE TO GIRLS REWARDS BY CLICKING BELOW

Girl Rewards
Choose a reward for each level
The rewards can be found on the back of the cookie order form
Please note; quantities between 40-300 have prizes pre-selected (if qualified) as well as
Initial order prizes (up to 180),
Digital cookie (30-165)
Smiles for Military (40-200).
Should your girl sale more than her initial order, we still need to submit rewards for ALL quantities in case she exceeds her goal.
All rewards are cumulative. Make/Model/Color may vary.
Enter Shirt Size
Specify Youth or Adult size
400 Boxes
Poncho Cushion & Socks
500 Boxes
$75 Cookie Dough Tote, hat and bracelets
750 Boxes
$125 Cookie Dough Duffle Bag & Towel Rock Climbing
1000 Boxes
$175 Cookie Dough Samoas Hoodie
1000 Boxes
Dough Getters Patch & Certificate w/choice of $200 CD Customizable LOLA Denim Jacket
1600 Boxes
Vera Bradley Travel Set Home Movie Bundle
2022 Boxes
$300 Cookie Dough Party Pack
3000 Boxes
Oculus Glamping
5000 Boxes
Cricut iPad Air
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