Cookies

Let's get these cookies in the hands of someone who needs them!

You only need to fill out this form if the cookies are going to someone other than the Name & Address we have on file.

So, if they're going to you this month don't fill this out!

Account Email

Select

Which month is this gift for?

Name

Who are the cookies going to this month? (First Name, Last Name)

First Name

Last Name

Address

Where are the cookies going? (Address, City, State, Zip)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Message

What would you like to say in the notecard for this month? (handwritten)

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