Order Form 2018
[Mixes 1-10 are $12. For each mix write how many and total cost.] 

1. Brownies   
2. Chocolate Chip 
3. Gingerbread 
4. Harvest M&M 
5. Holiday M&M 
6. Holiday Mint M&M 
7. Holiday Peppermint M&M 
8. Oatmeal Chocolate Chip 
9. Oatmeal Raisin 
10. White Chocolate Chip 
11. Gluten Free Special (Pick any kind of cookies above)
[Gluten free mixes are $15. List the kind of mix, how many and total cost.]  

Total all: 

Your contact information:
Phone with area code, VP, Voice or Text:

Please mail this form with a check or money order payable to 
Attn: Cookie Mix in a Jar
PO Box 5154
Concord, CA 94524