Girl Scouts of Greater Atlanta Shop's Online Order Form

Customer Information

Person Placing Order

Phone Number

Area CodePhone Number

Email Address

example@example.com

Confirm Email Address

example@example.com

Order Date

Date

Troop Number

Program Level

Will order be shipped or picked up at store?

Preferred Date and Time For Pick Up

DateHourMinutesAM/PM Option

**24 hours required to process order.**

**Friday orders can’t be scheduled for pick-up until the following Monday**

Monday - 9 a.m. to 5 p.m.
Tuesday - 9 a.m. to 5 p.m.
Wednesday - 9 a.m. to 5 p.m.
Thursday - 9 a.m. to 7 p.m.
Friday - 9 a.m. to 5 p.m.

**24 hours required to process order.**

Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Enter Items Below

Items:

Rows	Quantity	Item #	Size or Color	Description	Dollar Amount $
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Payment Options

To ensure the security of your information, we will call you on the telephone to get your credit card information.

Payment Methods

Enter Spring Renewal Coupon Code:

Phone Number

The best time (Monday-Friday 9-5) to call you is:

AM/PM:

Electronic Signature

Electronic Signature By typing my name on this form, I am entering my "electronic signature" (as defined in the Uniform Electronic Transactions Act, C.R.S. 24-71.3-101 ff) and certifying that I have read, fully understand and accept all terms of this agreement.

Please type your full name here

Please verify that you are human