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I'd Like to Order Cookies

Craving Thin Mints, Peanut Butter Patties, Daisy Go Rounds...
This is your last chance in 2010 to order Girl Scout Cookies.

For information, please contact Toni Carey, Product Sales Director at 385-3677, ext. 239.

**Required Fields

Contact Information
    A value is required. Enter first and last name.
    xxx-xxx-xxxxxxx-xxx-xxxx.
    Enter valid email address.Use email address format.
   
   
    Enter valid zip code.Use Zip5 format.


I would like to order the following
         
  boxes X $3.50 per box = $  
  boxes X $3.50 per box = $  
  boxes X $3.50 per box = $  
  boxes X $3.50 per box = $  
  boxes X $3.50 per box = $  
  boxes X $3.50 per box = $  
  boxes X $3.50 per box = $  
  boxes X $3.50 per box = $  
         
  Total payment due: boxes X $3.50 per box = $  
 


I would like to donate cookies to the men and women of the Armed Forces
         
  boxes X $3.50 per box = $  
         

I heard about the Cookie Sale by: (check all that apply)
     
Girl Scouts Radio Web Site
Billboard Doorhangers TV
Friends & Family Other 
     
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