2026 Juliette Cookie Program - Cookie Order Form

2026 Juliette Cookie Program - Cookie Order Form

Please submit this form to acknowledge your participation and communicate important information needed by GSMW for product and reward delivery.
Before completing this form, if you used your paper order card(s), please write the total for each variety at the bottom of each card and take a picture/scan. Each picture/scan must show all of the customer orders, extra cookies if ordering and totals. Each picture/scan must be readable and in focus.
If you have not done so already, please submit your Caregiver Permission Form prior to submitting this order form.
Juliette Girl Scout Name*

First NameLast Name
Juliette Caregiver Name*

First NameLast Name
Preferred Email Address*
example@example.com
Preferred Phone Number*
Please enter a valid phone number.
Phone Type
Shipping Address (UPS/FedEx - No PO Box)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (USPS - PO Box)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did your Juliette participate in the Cookie Program?*
Please note that all orders will be rounded up to the next case for each variety. There are 12 packages in each case. Cookies cannot be returned or exchanged.

Paper Order Card
Total Number of Packages on Paper Order Card

IMPORTANT: Please DO NOT include girl delivery orders taken online in the numbers below as they are already accounted for by GSMW.

Your paper order card quantities listed below will be added to your online girl delivery orders, if any, and then rounded up to the next case for each variety. There are 12 packages in each case.

Cookies cannot be returned or exchanged.
I am ordering extra cookies for booths/fulfill additional orders. If yes, please write this information on your paper order card and add to your customer order totals. Please ensure that the picture/scan of your order card(s) includes this information. GSWM recommends that you do not order more than 10-20% above your pre-order customer needs. This will be evaluated on a case by case basis. *
Donated Cookie Packages*
Adventurefuls Packages*
Exploremores Packages*
Lemonades Packages*
Trefoils Packages*
Thin Mints Packages*
Peanut Butter Patties Packages*
Caramel deLites Packages*
Peanut Butter Sandwich Packages*
Upload a readable, in focus picture/scan of each order card. Each picture/scan must show all customer orders, extra cookies if ordering and totals. *

Cancelof

Order Verification and Caregiver Responsibility
Verification*

I have reviewed the information above for accuracy and uploaded a readable, in focus picture/scan of the paper order card(s), if applicable.
Verification*

I understand that my order will be rounded up to the next case for each variety and that cookies cannot be returned or exchanged.
Verification*

I understand that I am financially responsible for all product received.
Signature*

Clear
Date*

MonthDayYear
Date
Name*

First NameLast Name
Please include any additional questions in the box below.
Should be Empty:

Paper Order Card