Council Tootsie Roll Order Form
Iowa Knights of Columbus CPID Tootsie Roll Order Form
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Email *
Council # *
Name of the Council CPID Chairman or Person of Contact *
Email address of the Council CPID Chairman or Person of Contact
(if no email enter NO EMAIL)
*
Best Phone # of the Council CPID Chairman or Person of Contact
*
# of Tootsie Roll Cases needed
$20 cost per case 
*
Projected start date of the council CPID Drive
(best estimate is acceptable)
*
MM
/
DD
/
YYYY
Potential Delivery Location 
Please include name of location and physical address (no PO Boxes)
Churches & Businesses preferred for truck access
*
A copy of your responses will be emailed to the address you provided.
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