Bierock Orders
Only enter orders that have NOT been submitted online by your customers.
Student Info
*
First Name
Last Name
Parent Info
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Enter Your Orders Here $28/Full Orders $15/Half Orders
Customer Name
Customer Phone
FULL Dozens Ordered
HALF Dz's Ordered
Total $$ Due
Payment Method
Pick-Up Person
Paid
Picked UP?
1.
PayPal
Swipe
Cash
Check
Pay @ pick-up
2.
PayPal
Swipe
Cash
Check
Pay @ pick-up
3.
PayPal
Swipe
Cash
Check
Pay @ pick-up
4.
PayPal
Swipe
Cash
Check
Pay @ pick-up
5.
PayPal
Swipe
Cash
Check
Pay @ pick-up
6.
PayPal
Swipe
Cash
Check
Pay @ pick-up
7.
PayPal
Swipe
Cash
Check
Pay @ pick-up
8.
PayPal
Swipe
Cash
Check
Pay @ pick-up
9.
PayPal
Swipe
Cash
Check
Pay @ pick-up
10.
PayPal
Swipe
Cash
Check
Pay @ pick-up
11.
PayPal
Swipe
Cash
Check
Pay @ pick-up
12.
PayPal
Swipe
Cash
Check
Pay @ pick-up
13.
PayPal
Swipe
Cash
Check
Pay @ pick-up
14.
PayPal
Swipe
Cash
Check
Pay @ pick-up
15.
PayPal
Swipe
Cash
Check
Pay @ pick-up
Total FULL Dozens Sold
$28/ea
Total 1/2 Dozens Sold
Total Amount Due $
Calculation
Don't forget to turn in the money you have collected. Make sure checks are made out to Bullard Band Backers OR You can enter the number of orders you are paying for today below in "My Products" You can pay the entire amount due, or a portion.
Once you hit submit, your orders will be recorded. Please be sure to turn in your paper form for reference, OR print this and turn it in with the payments to the Band Safe.
Submit without Paying
My Products
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( X )
Bierocks
$
28.00
How many orders are you paying for today?
Order Options: Full & Half Dozens
Full Dozen
Half Dozen
Item subtotal:
$
0.00
Bierocks 1/2 Dozen
$
15.00
How many half orders are you paying for today?
Total
$
0.00
The payment is ready! It will be completed once you submit the form.
Submit
Print Form
Total Dz Sold
Should be Empty: