please choose your location and remit...

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PLEASE CHOOSE YOUR LOCATION AND REMIT COMPLETED FORM Issaquah 6210 East Lake Sammamish Pkwy, Issaquah, WA 98029 (425) 391-8011 (425) 391-8012 (fax) [email protected] Spokane 15401 East Indiana Avenue, Spokane Valley, WA 99216 (509) 922-7101 (509) 922-7105 (fax) [email protected] North Seattle 12505 Aurora Avenue North, Seattle, WA (206) 440-1900 (206) 440-1901 (fax) [email protected] SODO 1900 1st Avenue South, Seattle, WA 98134 (206) 625-1554 (206) 625-1553 (fax) [email protected] Tacoma 4302 Tacoma Mall Blvd., Tacoma, WA 98409 (253) 472-6888 (253) 472-7888 (fax) [email protected] Beaverton 16415 NW Cornell Road, Beaverton, OR 97006 (503) 645-2228 (503) 645-2800 (fax) [email protected] Clark County 8517 NE Andresen Road, Vancouver, WA 98665 (360) 260-0066 (360) 260-0055 (fax) [email protected] Fundraiser Objective: Date of Fundraiser Pickup: Check one: Pick-up Delivery (Minimum delivery charge is $50 plus $.85 per mile round trip, please allow a 30 minute window) Specify Time: _____________ Delivery Address: _____________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ Organization Name: _____________________________________________________________________________________________________________________ Contact Name: _____________________________________________________________________________________________________________________ Address: _____________________________________________________________________________________________________________ City/State/Zip: _____________________________________________________________________________________________________________________ Phone: _____________________________________________ Fax: _____________________________________________ Mobile: _____________________________________________ Email: _____________________________________________ Special Notes: **Delivery prices & minimums may vary. Delivery subject to availability. Please ask for details.** Krispy Kreme reserves the right to change prices without notice. Orders must be cancelled at least 48 hours in advance of scheduled pick up or delivery date. A cancellation fee equal to 50% of the order total will apply. Credit Card orders will be charged 48 hours in advance of pick up or delivery. If payment is made by check Krispy Kreme reserves the right to hold Fundraising Order until funds have cleared bank. If you accept personal checks during presell please make sure the checks are made out to your organization. Krispy Kreme does not accept personal checks. Orders not picked up within 2 hours of their scheduled time are considered cancelled, and subject to the cancellation fee equal to 50% of the order total. Schools paying by purchase order must include a copy of the purchase order with their order request. All orders must be confirmed by both parties. Krispy Kreme is not responsible for shipping errors including, but not limited to: bumped flights, late deliveries, damaged product or any other circumstances related to shipping or transportation. All fundraising purchases are final and any unsold product may not be returned. This order form is a request form only. Orders must be confirmed with the store directly. Payment Information Required to Confirm Order Your Signature: ______________________________________________________________________________ Today’s Date: _____________________________ . z d 5 2 . 5 $ 9 9 - 5 2 s n e z o D d e z a l G l a n i g i r O . z d 0 0 . 0 1 $ . z d 0 0 . 5 $ 9 9 2 - 0 0 1 s n e z o D d e z a l G l a n i g i r O . z d 0 0 . 0 1 $ . z d 5 7 . 4 $ 9 9 5 - 0 0 3 s n e z o D d e z a l G l a n i g i r O . z d 0 0 . 0 1 $ . z d 0 5 . 4 $ n z D + 0 0 6 s n e z o D d e z a l G l a n i g i r O . z d 0 0 . 0 1 $ . z d 0 0 . 8 $ s n e z o D d e t r o s s A e r P . z d 0 0 . 2 1 $ $2.00 cup Doughnut Hole Cups 25+ Cup contains 10 Original Glazed doughnut holes $1.00 cup $11.00 bag 12 oz. House Blend Coffee Bags Please allow 2 weeks advance notice $7.00 ea. $11.50 bag 12 oz. Dark Roast and Decaf Coffee Bags Please allow 2 weeks advance notice $7.50 ea. . a e 0 0 . 5 $ s e t a c i f i t r e C g n i s i a r d n u F . a e 0 0 . 0 1 $ . a e 0 0 . 0 1 $ s d r a C p i h s r e n t r a P h c n u P 0 1 . a e 0 0 . 0 2 $ Suggested Price Krispy Kreme Doughnuts Partnership Cards & Certificates Quantity Total Price Your Price OFFICE USE ONLY Pending Confirmed Paid PO Preselling OF MAIN 1/14 Clackamas 9950 SE 82nd Avenue, Happy (503) 774-3300 (503) 774-8300 (fax) [email protected] Valley, OR 97086 WE PUT THE “FUN” IN FUNDRAISING

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Page 1: PLEASE CHOOSE YOUR LOCATION AND REMIT …s3.amazonaws.com/.../USOrderFundraisingOrderForm-KremeWorks.pdf · PLEASE CHOOSE YOUR LOCATION AND REMIT COMPLETED FORM Issaquah 6210 East

PLEASE CHOOSE YOUR LOCATION AND REMIT COMPLETED FORM Issaquah 6210 East Lake Sammamish Pkwy, Issaquah, WA 98029 (425) 391-8011 (425) 391-8012 (fax) [email protected] Spokane 15401 East Indiana Avenue, Spokane Valley, WA 99216 (509) 922-7101 (509) 922-7105 (fax) [email protected] North Seattle 12505 Aurora Avenue North, Seattle, WA (206) 440-1900 (206) 440-1901 (fax) [email protected] SODO 1900 1st Avenue South, Seattle, WA 98134 (206) 625-1554 (206) 625-1553 (fax) [email protected] Tacoma 4302 Tacoma Mall Blvd., Tacoma, WA 98409 (253) 472-6888 (253) 472-7888 (fax) [email protected]

Beaverton 16415 NW Cornell Road, Beaverton, OR 97006 (503) 645-2228 (503) 645-2800 (fax) [email protected] Clark County 8517 NE Andresen Road, Vancouver, WA 98665 (360) 260-0066 (360) 260-0055 (fax) [email protected]

Fundraiser Objective:

Date of Fundraiser Pickup: Check one: Pick-up Delivery (Minimum delivery charge is $50 plus $.85 per mile round trip, please allow a 30 minute window) Specify Time: _____________Delivery Address:

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Organization Name: _____________________________________________________________________________________________________________________

Contact Name: _____________________________________________________________________________________________________________________

Address:

_____________________________________________________________________________________________________________

City/State/Zip:

_____________________________________________________________________________________________________________________

Phone: _____________________________________________ Fax: _____________________________________________Mobile: _____________________________________________ Email: _____________________________________________

Special Notes:

**Delivery prices & minimums may vary. Delivery subject to availability. Please ask for details.**• Krispy Kreme reserves the right to change prices without notice.• Orders must be cancelled at least 48 hours in advance of scheduled pick up or delivery date. A cancellation fee equal to 50% of the order total will apply.• Credit Card orders will be charged 48 hours in advance of pick up or delivery.• If payment is made by check Krispy Kreme reserves the right to hold Fundraising Order until funds have cleared bank. If you accept personal checks during presell please make sure the checks are made out to your organization. Krispy Kreme does not accept personal checks.• Orders not picked up within 2 hours of their scheduled time are considered cancelled, and subject to the cancellation fee equal to 50% of the order total.• Schools paying by purchase order must include a copy of the purchase order with their order request.• All orders must be confirmed by both parties.• Krispy Kreme is not responsible for shipping errors including, but not limited to: bumped flights, late deliveries, damaged product or any other circumstances related to shipping or transportation.• All fundraising purchases are final and any unsold product may not be returned.

This order form is a request form only. Orders must be confirmed with the store directly.Payment Information Required to Confirm Order

Your Signature: ______________________________________________________________________________ Today’s Date: _____________________________

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.zd 00.5$ 992-001 snezoD dezalG lanigirO.zd 00.01$

.zd 57.4$ 995-003 snezoD dezalG lanigirO.zd 00.01$

.zd 05.4$ nzD +006 snezoD dezalG lanigirO.zd 00.01$

.zd 00.8$ snezoD detrossA erP.zd 00.21$ $2.00 cup Doughnut Hole Cups 25+ Cup contains 10 Original Glazed doughnut holes $1.00 cup

$11.00 bag 12 oz. House Blend Coffee Bags Please allow 2 weeks advance notice $7.00 ea.$11.50 bag 12 oz. Dark Roast and Decaf Coffee Bags Please allow 2 weeks advance notice $7.50 ea.

.ae 00.5$ setacifitreC gnisiardnuF.ae 00.01$

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Suggested Price Krispy Kreme Doughnuts Partnership Cards & Certificates Quantity Total PriceYour Price

OFFICE USE ONLYPendingConfirmedPaidPOPreselling

OF MAIN 1/14

Clackamas 9950 SE 82nd Avenue, Happy (503) 774-3300 (503) 774-8300 (fax) [email protected], OR 97086

WE PUT THE “FUN” IN FUNDRAISING