Retail Store Order Form

Mail Orders: Girl Scouts of Northern California, 1650 Harbor Bay Pkwy Suite 100, Alameda, CA 94502

Phone: (510) 562-8470

E-mail Orders: shop@gsnorcal.org

Due to high order volume, processing might take up to 10 working days and are limited to stock availability.

Tax: Local sales tax will be added.

Shipping & Handling: Shipping and handling charges will be the cost of the shipping plus the shipping materials used (envelope, box, etc.). Note:There is an additional charge for books that are shipped due to their weight.

Order Online!

Visit our online store at SHOPGSNorCal

Customer Information

* Required Field

Person Placing Order: *

Telephone (Include Area Code): *

Email address: *

Confirm Email Address *

Delivery Method: *

Desired Pick-Up Date * +

Required By Date * +

Ship To

First Name: *

Last Name: *

Home Address (Street): *

Unit/Apt

City: *

State: *

Zip Code: *

Enter Items Below

If Catalog # is unknown, please provide a clear description. If order is more than 12 items, please email or call for assistance.

Image upload

Items:

	Quantity*	Catalog (optional) #	Size or Color	Description*	Unit Price $	Amount $
1	Quantity*	Catalog (optional) #	Size or Color	Description*	Unit Price $	Amount $
2	Quantity*	Catalog (optional) #	Size or Color	Description*	Unit Price $	Amount $
3	Quantity*	Catalog (optional) #	Size or Color	Description*	Unit Price $	Amount $
4	Quantity*	Catalog (optional) #	Size or Color	Description*	Unit Price $	Amount $
5	Quantity*	Catalog (optional) #	Size or Color	Description*	Unit Price $	Amount $
6	Quantity*	Catalog (optional) #	Size or Color	Description*	Unit Price $	Amount $
7	Quantity*	Catalog (optional) #	Size or Color	Description*	Unit Price $	Amount $
8	Quantity*	Catalog (optional) #	Size or Color	Description*	Unit Price $	Amount $
9	Quantity*	Catalog (optional) #	Size or Color	Description*	Unit Price $	Amount $
10	Quantity*	Catalog (optional) #	Size or Color	Description*	Unit Price $	Amount $
11	Quantity*	Catalog (optional) #	Size or Color	Description*	Unit Price $	Amount $
12	Quantity*	Catalog (optional) #	Size or Color	Description*	Unit Price $	Amount $

Store Policy

No refunds will be made after 60 days from purchase. Refunds with receipt only. After 60 days exchange or store credit with receipt.

Payment Options

To ensure the security of your information, we will send a Square invoice to the provided email above. This secure method of payment will also include messaging to confirm your pick-up date and time. If you do not wish to receive a Square invoice, please select the best day and time below to reach you via telephone. (Please note that opting out of the Square invoice process may delay your order.)

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

AM/PM:

AM

PM

Reward Card Number

Promo Code

Comments/Notes

Electronic Signature

Electronic Signature By typing my name on this form, I am entering my "electronic signature" (as defined in The California Uniform Electronic Transactions Act 1633.1 - 1633.17) and certifying that I have read, fully understand and accept all terms of this agreement.

Please type your full name here: *