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Cookies n Cream Order Form

 

To order, print and complete order form and mail check and order form to:

Lesley Miller

19336 W. River Rd.

Bowling Green, OH 43402

 

 

Order Information:

Quantity desired:

Total $ enclosed:

 

If you reside in the state of Ohio, enclose a check for $18 with this order form.  

If you don't reside in the state of Ohio, enclose a check for $16.50 with this Order Form.

 

Make checks payable to Lesley Miller 

 

 

 

Customer Information:

Name:

 

Street Address:

 

City:

 

State:

 

Zip:

 

Phone

 

E-mail