Cookie Grain Exchange Bakery Order Form

Name*

First NameLast Name

Email*

Confirmation Emailconfirm email address in the second box

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Date for Pick-up*

Once your order is submitted, you will be contacted to solidify both date/time pick-up options.

Desired Time for Pick-up:*

Hour Minutes

AM/PM Option

I agree

My Products **click on the small white box in the top left corner of each picture of the cookie you wish to order AND select the number of dozen you wish to order

Chocolate Chip Cookies

An all-time classic, loaded with chocolate chips.

$27.00 Dozen

Chocolate Chip Cookies with Pecans

A grown-up classic, full of chocolate chips and pieces of pecans.

$33.00 Dozen

Oatmeal with Raisin Cookies

Old fashioned cookie; chewy and chocked full of raisins with a touch of cinnamon.

$30.00 Dozen

Oatmeal Cookie

Brown sugar and butter, mixed with old fashioned oats, make for a deliciously simple cookie.

$27.00

Peanut Butter Chip

Soft peanut butter cookie with peanut butter chips.

$30.00 Dozen

Old Fashioned Sugar Cookies

Simple -- but perfect. With or without sprinkles.

$27.00 Dozen

Iced Oatmeal

A simple nostalgic cookie; soft oatmeal cookie with a slightly sweet icing that makes for a perfect combination.

$26.00 Quantity

Total

$0.00

Special Order Request (decorated sugar cookies, cupcakes, specialty cake, gift wrapped)*

If you are making a special order request, you will be contacted to discuss your preferences.

Please Indicate Your Special Request: (short answer)

(Example: I am interested in ordering a cinnamon roll cake)

Special Instructions or Questions:*

Example: "No sprinkles on the sugar cookies." Please type N/A if not applicable

cash at time of pick-upPaypal (grainexchange@outlook.com)

When you select Paypal, if you feel comfortable, you can chose to send payment to "family and friends." I do not transfer funds from Paypal until after pick up. If you utilize Paypal, and needed to cancel according to the above criteria, I will refund your payment or apply the funds to your next order, whichever you prefer.

Grain Exchange operates under Oklahoma's Home Cottage Law and is not inspected or licensed by Oklahoma's State Health Department. Bakery goods are prepared in accordance to the guidelines of Oklahoma's Home Cottage Law. All ingredients are gluten free and baked in a gluten free home kitchen, however, baked goods are not tested, therefore are not being sold as certified gluten free. All ingredients are gluten free but may be created on shared equipment from the manufacturer. While baked goods are gluten free, baked goods may contain other allergens such as corn, dairy, eggs, peanut, tree nuts, and soy.*

I agree

Cookie Order Form