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Retail Store Visit List - PDF

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					                                         Retail Store Order Form
                                     Mail Orders: Girl Scouts of Northern California, 7700 Edgewater Drive, Suite 340, Oakland, CA 94621
                              Phone: (510) 562-8470 | FAX Orders: (510) 633-7925 | E-mail Orders: ShopOakland@GirlScoutsNorCal.org

                                                                                             Local Retail Store:
Person Placing Order                               Telephone (Include Area Code)
                                                                                             q Eureka q Redding q Chico q Oakland
                                                                                             q San Jose q Fairfield q Santa Rosa
Troop # or q Juliette Girl Scout                   Date Ordered                              Program Level:
Orders will be processed within 3-5 working days.
                                                                                             q Daisy    q Brownie q Junior
Orders are limited to stock availability.                                                    q Cadette q Senior q Ambassador q Adult

 Quantity              Catalog #         Size or Color                       Description                         Unit Price     Dollar Amount
                                                                                                             $                 $




                                                                                                                      Subtotal $
                                             Store Policy                                                                 Tax $
              No exchanges, credit or refunds will be made after 30 days of purchase.
                                                                                                                     Shipping $
                     You must have a receipt for exchanges, credit or refunds.
                                                                                                                  Total Order $

Name: (print)_____________________________________________ q Troop #: __________ q Juliette
                                                                                                                      Tax:
Address: _____________________________________________________________________________                                Local sales tax will be added.
City/State/Zip:_______________________________________________Phone: ___________________
                                                                                                                      Shipping & Handling
Payment Options:                                                                                                      (Excludes Tax):
q Check #__________ q VISA q American Express q Master Card q Discover q Cookie Card                                  Shipping and Handling
To ensure the security of your information, we will call you on the telephone to get your credit card information.    charges will be the cost
                                                                                                                      of the shipping plus the
The best time (Monday-Friday 9-5) to call you is: ______a.m. _____p.m. q Mon q Tues q Weds q Thurs q Fri
                                                                                                                      shipping materials used
Phone #:(______) __________________Signature ___________________________________________                              (envelope, box, etc.).

Ship To (if different from above):                                                                                    Note: There is an additional
                                                                                                                      charge for books that are
Name: (print)__________________________________________________________________________                               shipped due to their weight.
Address: _____________________________________________________________________________
City/State/Zip:______________________________________________________________________

FOR GSNC OFFICE USE ONLY                                                                                             Order Online!
Date                    Authorization # For Credit Card                                                       Visit our online store at
Order Mailed                       q Phone Order                    q UPS      q US Mail                 http://store.GirlScoutsNorCal.org

8x         02/2011 STORE MARCOMM

				
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