My Urban Homestead Order Form
Important Reminders
After submitting this form, we'll check your order and contact you within 24 hours for confirmation.
Orders are pick up only at one of the available markets. If none of the markets work for you, please email
myurbanhomestead.stl@gmail.com
to set up an alterntive pick up location.
The turn around time depends on the ordered items. Please allow 3-5 days advanced notice for orders.
Pick-Up Date
*
-
Month
-
Day
Year
Date
Pick Up Location
*
U City Market (Sat.)
The Boulevard Market (Sun.)
Tower Grove Market (Tue.)
SOL Maplewood Market (Wed.)
Other (please email)
Customer's Name
*
First Name
Last Name
Customer's Email
*
example@example.com
Customer's Phone Number
*
-
Area Code
Phone Number
Products
Categories:
All
All
Breads
Baked Goods
Pies
Gift Cards
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next
( X )
Breads
White Sandwich
$
4.00
Quantity
1
2
3
4
5
6
7
8
9
10
Crusty (Italian)
$
4.00
Quantity
1
2
3
4
5
6
7
8
9
10
French Baguette
$
4.00
Quantity
1
2
3
4
5
6
7
8
9
10
Whole Wheat
$
4.25
Quantity
1
2
3
4
5
6
7
8
9
10
Dinner Rolls (12)
$
4.50
Quantity
1
2
3
4
5
6
7
8
9
10
Crusty Rolls (12)
$
4.50
Quantity
1
2
3
4
5
6
7
8
9
10
Biscuits (12)
$
4.00
Quantity
1
2
3
4
5
6
7
8
9
10
Burger Buns (12)
$
4.50
Quantity
1
2
3
4
5
6
7
8
9
10
Cinnamon Swirl
$
4.25
Quantity
1
2
3
4
5
6
7
8
9
10
Cinnamon Raisin
$
4.50
Quantity
1
2
3
4
5
6
7
8
9
10
Focaccia
$
5.50
Quantity
1
2
3
4
5
6
7
8
9
10
Garlic Herb Focaccia
$
6.00
Quantity
1
2
3
4
5
6
7
8
9
10
Garlic Cheese Focaccia
$
6.00
Quantity
1
2
3
4
5
6
7
8
9
10
Rye
$
4.50
Quantity
1
2
3
4
5
6
7
8
9
10
Pumpernickel
$
4.75
Quantity
1
2
3
4
5
6
7
8
9
10
Baked Goods
Brownies
$
11.00
Quantity
1
2
3
4
5
6
7
8
9
10
Salted Caramel Brownies
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Turtle Brownies
$
12.50
Quantity
1
2
3
4
5
6
7
8
9
10
Cinnamon Rolls (12)
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Bread Pudding
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Chocolate Chip Cookies (12)
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Chocolate Crinkle Cookies (12)
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Sprinkle Sugar Cookies (12)
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Oatmeal Cookies (12)
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Oatmeal Raisin Cookies (12)
$
10.50
Quantity
1
2
3
4
5
6
7
8
9
10
Cream Cheese Cookie Sammies (8)
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Buttercream Cookie Sammies (8)
$
14.00
Quantity
1
2
3
4
5
6
7
8
9
10
Pies
Apple
$
19.00
Pie Topping
Lattice
Crumb
No Topping
Quantity
1
2
3
4
5
6
7
8
9
10
Peach
$
19.00
Pie Topping
Lattice
Crumb
No Topping
Quantity
1
2
3
4
5
6
7
8
9
10
Cherry
$
19.00
Pie Topping
Lattice
Crumb
No Topping
Quantity
1
2
3
4
5
6
7
8
9
10
Blueberry
$
19.00
Pie Topping
Lattice
Crumb
No Topping
Quantity
1
2
3
4
5
6
7
8
9
10
Mixed Berry
$
19.00
Pie Topping
Lattice
Crumb
No Topping
Quantity
1
2
3
4
5
6
7
8
9
10
Sweet Potato
$
19.00
Quantity
1
2
3
4
5
6
7
8
9
10
Pumpkin
$
19.00
Quantity
1
2
3
4
5
6
7
8
9
10
Pecan
$
19.00
Quantity
1
2
3
4
5
6
7
8
9
10
Chocolate Chip Pecan
$
19.50
Quantity
1
2
3
4
5
6
7
8
9
10
Chess
$
19.00
Quantity
1
2
3
4
5
6
7
8
9
10
Chocolate Chess
$
19.50
Quantity
1
2
3
4
5
6
7
8
9
10
Chocolate Cream
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Key Lime
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Gift Cards
Gift Card
$
1.00
Total
Payment Type
*
Cash
Venmo
Credit Card
Do you have any additional information or instructions?
Order Now
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