Bakery Products Order Form
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Small Breads
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Flavor
Zucchini
Blueberry Lemon
Banana Nut
Snickerdoodle
Jalapeno Cheddar
Pumpkin
Large Breads
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Flavor
Zucchini
Snickerdoodle
Blueberry Lemon
Banana Nut
Pumpkin
Jalapeno Cheddar
Peanut Patties
$
2.00
Quantity
1
2
3
4
5
6
7
8
9
10
Pecan Pralines
$
2.00
Quantity
1
2
3
4
5
6
7
8
9
10
8 oz Jams
$
8.00
Quantity
1
2
3
4
5
6
7
8
9
10
Type
Apricot
Apricot Habanero
Apple Butter
BlackBerry
Blueberry
Candy Apple
Cherry
Christmas
Jalapeno
Raspberry
Strawberry
Strawberry Jalapeno
Triple Berry
Wild Plum
16 oz Jams
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Flavor
Apricot
Apricot Habanero
Apple Butter
Blackberry
Blueberry
Candy Apple
Christmas
Cherry
Jalapeno
Raspberry
Strawberry
Strawberry Jalapeno
Triple Berry
Wild Plum
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Payment Method
*
Cash on Delivery/Pick-up
Check
Venmo
Square
Special Instructions
Order Type
Pick-up
Shipping
Pick-up/Delivery Date and Time
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Customer Details
Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Shipping Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reminders:
After submitting this form, we'll check your order and contact you when it is ready.
If paying via Venmo, we will send you a link after you place your order.
If shipping your items, the shipping fee will be charged separately.
Submit
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