Smile Cookie Pre-Order Form 
                                                                       By pre-ordering Smile Cookies you are helping to support local 
                                                                       charities within your community – including KidsAbility and 
                                                                       Nutrition for Learning!  
                                                                        
                                                                       To pre-order Tim Hortons Smile Cookies, complete this form and 
                                                                       submit it to your nearest Tim Hortons Restaurant in Kitchener 
                                                                                                                                  th
                                                                       and Waterloo by September 9 . 
                                                                                                                                                                         
                                                                        
                                                                          *All orders must be pre-paid in full upon submission of this form* 
                          Number of Boxes:                                                                                                  12 Cookies per box 
                              
                          Your Name:                                                          
                          Address:                                                            
                                                                                              
                                                                                              
                                                                                             Telephone:  (        ) 
                                                                                             Email:                             
                              
                          Pick Up Date:                                                                                              Time:                               
                                                                                                                          
                          How did you hear about Smile Cookie?  At my local Tim Hortons                                                                                                                            
                                                                                                                                  Through my local Charity                                                         
                                                       *Check all that apply*                                                     Advertising in my community   
                                                                                                                          
                 These delicious Tim Hortons Smile Cookies will be available at participating Restaurants from 
                                September 12th to September 18th ONLY, so PRE-ORDER your cookies today! 
                                                                                                                          
                                                      Your full $1 goes to KidsAbility and Nutrition for Learning 
                                                                                                Thank you for your support!