Club Membership Registration Form

Sourdough Club Membership Registration

Complete the form below to sign up for our membership club.
Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date

MonthDayYear
Select the plan that corresponds with how many items you want to receive each month. Please make sure your following answers make sense (i.e. Don't pick "Two, please" and then select three different menu items.)
prevnext( X )
Two, please
($20.00 for 1 months)



Three, please
($30.00 for 1 months)



Four, please
($40.00 for 1 months)
What items would you like in your monthly order?

Original Sourdough LoafJalapeno Cheddar LoafPlain Bagels (4)Everything Bagels (4)Sourdough Chocolate Chip Cookies (12)PB Pumpkin Dog Treats (16)
Please clarify how many of each item below.
Membership Terms
1. This is a monthly recurring charge.

2. Your items will be ready for you on the second Wednesday of each month.

3. If you do not pick up your order on the designated pick-up day, it will be frozen for you to pick up on the next pick-up date, OR you will reach out to Blakey's Bakes to make arrangements for a different date and time.

4. To cancel your subscription, you will reach out to Blakey's Bakes and will give 30 days notice.
I have read, understood, and accepted the terms for membership.
Signature

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Membership Benefits
1. Automated order at a flat rate price per month.

2. Quarterly surprise item.

3. Birthday item.

4. 10% discount on all other orders. (You will receive the discount code once application is received.)
You will be contacted with your new discount code within 48 hours of receiving your form.(:

Thank you!
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Sourdough Club Membership Registration

Membership Terms

Membership Benefits