Girl Scout Cookie Order Form
Cookie Products
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Butter Cookies
$4.00
$
4.00
Quantity
Chocolate Cookies
$4.00
$
4.00
Quantity
Caramel Cookies
$4.00
$
4.00
Quantity
Vanilla Cookies
$4.00
$
4.00
Quantity
Chocolate Mint Cookies
$4.00
$
4.00
Quantity
Cupcakes (6 pcs per box)
$5.00
$
5.00
Quantity
Flavor
Chocolate
Red Velvet
Vanilla
Coffee
Muffins (6 pcs per box)
$5.00
$
5.00
Quantity
Flavor
Blueberry
Oreo
Chocolate Chips
Subtotal
$0.00
$
0.00
Shipping
$0.00
$
0.00
Total
$0.00
$
0.00
Payment Method
Cash
Credit Card
PayPal
Check
Bank Transfer
Purchase Order
Order Date
-
Month
-
Day
Year
Date
Order Type
Pick-up
Delivery
Pick-up/Delivery Date and Time
-
Month
-
Day
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Customer's Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email Address
example@example.com
Delivery Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reminders
We'll confirm your orders within 24-48 hours after the submission.
The shipping fee is applied to every transaction.
Every purchase here is non-taxable.
Submit
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