Mom’s Pantry Cookie Dough & Muffin Mixes Order Form SELECT YOUR GROUP:*– Select Below –MPPSCStudent's/Athlete's/Seller's Name (Ex. Sara Jane)* Full Name – Your order will be delivered by this person. Teacher's/Coaches Name (Ex. Mr. Reddin)* Classroom/Team (Ex. 7A)* Confirmation:* I confirm that I have selected the correct school / group above.Failure to select the correct group will result in incorrect shipment and loss of order. ALL ORDERS ARE FINAL SALE.Customer Information:Name: Full Name Address: Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone #:Customer Email: Cookies1515 Chocolate, Sea Salt & Caramel Quantity Price: $ 23.00 CAD Quantity 1501 Chocolate Chunk Quantity Price: $ 23.00 CAD Quantity 1502 White Chocolate Macadamia Nut Quantity Price: $ 23.00 CAD Quantity 1503 Rainbow Chocolate (M&M's) Quantity Price: $ 23.00 CAD Quantity 1506 Double Chocolate Chunk Quantity Price: $ 23.00 CAD Quantity 1509 Cranberry White Chocolate Quantity Price: $ 23.00 CAD Quantity 1514 Honey Oatmeal Raisin Quantity Price: $ 23.00 CAD Quantity Muffins1601 Blueberry Passion Quantity Price: $ 23.00 CAD Quantity 1602 Banana Dream Quantity Price: $ 23.00 CAD Quantity 1603 California Carrot Quantity Price: $ 23.00 CAD Quantity 1604 Lemon Poppyseed Quantity Price: $ 23.00 CAD Quantity Spreads1201 Garlic Spread Quantity Price: $ 9.90 CAD Quantity 1202 Cinnamon Spread Quantity Price: $ 9.90 CAD Quantity CheckoutProcessing Fee: Total $ 0.00 CAD Credit CardCard Details Cardholder Name Δ