The Cookie Store Order Form

NAME:
ADDRESS:
CITY: STATE/PROV: ZIP:
PHONE: (for order questions only)    
Email address:

Traditional & Gourmet Cookie Tins
Description	Cookie Type	Quantity	Price	Total
Small Tin
6 Jumbo Cookies			$14.99
6 Jumbo Gourmet Cookies			$14.99
24 Bite Size Cookies			$14.99
Medium Tin
Sampler Tin - 24 bite size & 6 jumbo gourmet cookies	Variety		$31.99
9 Jumbo Cookies			$21.99
9 Jumbo Gourmet Cookies			$21.99
48 Bite Size Cookies			$21.99
Large Tin
18 Jumbo Cookies			$31.99
18 Jumbo Gourmet Cookies			$31.99
100 Bite Size Cookies			$31.99
Popcorn Tins
3.5 Gallon (carmel, cheese, butter)			$19.95
1 (one) Gallon (buttered)			$9.95
1 (one) Gallon (cheese)			$9.95
1 (one) Gallon (carmel)			$11.95
1 (one) Gallon (Chicago)			$11.95
(Chicago is carmel & cheese mixed)
Fruita Water
Pucker Apple			$9.95
Cherry Smash			$9.95
Summertime Lemonade			$9.95
Margarita			$9.95
Orange Mango			$9.95
Fizzy Raspberry(which is blue raspberry)			$9.95
Strawberry			$9.95
Standard Shipping Charges Per Package (USA ONLY) Call 615-793-9800 for International deliveries. $0.00 - 21.99 $ 6.99 $22.00 - $29.99 $ 8.99 $30.00 - $44.99 $10.99 $45.00 - 59.99 $12.99 $60.00 - $74.99 $14.99 $75.00 - $99.99 $17.99 $100.00 - $134.99 $22.99 $135.00 - $174.99  $27.99 $175.00 +   $34.99 $1.50 additional delivery charge must be added to residential deliveries. $15.00 total delivery charge must be added to PO Box, APO, FPO deliveries.		Total
			Shipping
			Tax
		Grand Total

Mail completed form with
Business Check, Cashier's Check or Money Order to
American Family Cookies, Inc.
112 Wheeler Street
LaVergne, TN 37086