Riversweet Citrus Sales - Fall Cookie Dough Order Form

Cookie Dough Order Form

If you are coordinating your cookie dough to arrive at the same time as your fruit order, please see to it that you arrange to have your cookie dough arrive at least two days before your fruit. This will take into account that UPS and other freight carriers take an extra day or two during the busy holiday season.

General Information:

Your Organization's Name:

School Name (if applicable):

Your Name:

Day Phone: Evening Phone:

e-mail address: Fax Number:

Requested Del. Date:

Information About Your Order:

This order is:

Our Original Order
A Change to our Original Order

Numbers Listed Below Represent:

New Totals
Just Changes to Our Original Order

With Respect to Sales Tax:

DO NOT Charge us Sale Tax
CHARGE US SALES TAX

Numbers Listed Below Are:

Our Final Numbers
Tentative Numbers

Your Order:

1001 Chocolate Chunk...................................................

1002 Peanut Butter:.........................................................

1004 Sugar........................................................................

1009 Snickerdoodle........................................................

1003 Oatmeal Raisin......................................................

1007 Triple Chocolate.....................................................

1005 M&M Candies..........................................................

1006 White Chocolate Macadamia Nut.......................

1008 Walnut Chocolate Chunk.....................................

1018 Lemon Drop............................................................

1012 Reeses Peanut Butter Cup..................................

1017 White Chocolate Oatmeal Cranberry.................

DELIVERY LOCATION FOR COOKIE DOUGH:

Deliver Cookie Dough To:

Delivery Address:

Address 1:

Address 2:

Address 3:

City: State: Zip Code:

Phone:

Name of Local Contact:

Special Instructions