Online Order Form

Billy G's Cookie Dough

Organisation Information
Organisation or School Name*
Please enter the name of your school or organisation
Organisation Type*
Please select your group type
Organisation or School Address*
Please enter your organisation's or school's street address
Address Line 2
Please enter your organisation's or school's street address
Suburb*
Please enter your suburb
State or Territory*
Please select your state or territory
Postcode*
Please enter your postcode
Co-Ordinator Details (must be at least 18 years old)
First Name*
Please enter the first name of the coordinator
Last Name*
Please enter the last name of the coordinator
Position*
Please enter the position of the coordinator
Daytime Phone*
Please enter the daytime phone number of the coordinator
Evening Phone*
Please enter the evening phone number of the coordinator
Mobile Phone*
Please enter the mobile phone number of the coordinator
Facsimile
Please enter the facsimile number of the coordinator
Email Address*
Please enter the email address of the coordinator
Treasurer's Name*
Please enter the name of the Treasurer
Treasurer's Phone Number*
Please enter the phone number of the Treasurer
Fundraising Program Details
Order Forms
Address for mailing of order forms*
Please enter the address for mailing of order forms
Number of Students/Members*
Invalid Input
Date Order Forms Required* / /
Please enter the date that order forms to be handed out to your students or members
Fundraiser Start Date* / /
Please enter the date that order forms and monies due back to you
Fundraiser End Date* / /
Please enter the date that order forms and monies due back to you
Delivery date for Cookie Dough (please allow 14 days for delivery from the day that you order)* / /
Please enter the date that you would like your Cookie Dough to be delivered
Address for Cookie Dough Delivery*
Please enter the address that you would like the Cookie Dough to be delivered to
Last Step
How did you hear about us?*
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Would you like to join our mailing list?*
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Terms and Conditions of Sale
Promo Code (if applicable)
Please enter your promotional code
I have read and accept the Terms & Conditions of Sale*
Please accept our Terms & Conditions of Sale
*
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