When

Wednesday, July 6, 2022 at 1:00 AM CDT
-to-
Thursday, June 1, 2023 at 1:00 AM CDT
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Where

Culver-Stockton College

One College Hill
Canton, MO 63435

Driving Directions

Contact

Culver-Stockton Student Life Office
Culver-Stockton College Student Life Office
573-288-6334
kford@culver.edu

Birthday Cake/Cookie Order Form

The Student Life Office is offering you the chance to send a Birthday cake or cookie to your student for $15. The cake is 9" round and the cookie is a 12" round cookie and will say Happy Birthday which is sure to please your student and help them have a great day!

* Required information

Recipient Information

* First Name:
* Last Name:
* Phone:
Preferred Date for Delivery:
Type of Cake or Cookie:
- White Cake
- Chocolate Cake
- Chocolate Chip Cookie
- Sugar Cookie
Personal Message for Card:
characters remaining
Type of Frosting/Icing:
- White
- Chocolate

Buyer Information

* First Name:
* Last Name:
* Email Address:
* Confirm Email Address:
* Phone:
Address 1:
City:
State:
ZIP Code:

Fee

Type	Fee
Birthday Cake	$15.00
Birthday Cookie	$15.00

Payment

Payment Method

Pay with Credit Card
Pay By Check
Please make check payable to:
Culver-Stockton College
Attn: Birthday Cake/Cookie
One College Hill
Canton, MO 63435

Payment Summary

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