Council Tootsie Roll Order Form
Iowa Knights of Columbus CPID Tootsie Roll Order Form
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Council # *
District # *
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 *
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
*
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