Order Form
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Fresh Baked Sourdough - Artisan Loaf
$10.00
$
10.00
Quantity
1
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5
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9
10
Whole Loaf
Half Loaf
Item subtotal:
$0.00
$
0.00
Fresh Baked Sourdough - Specialty Loaf
$12.00
$
12.00
Quantity
1
2
3
4
5
6
7
8
9
10
Whole Loaf
Half Loaf
Flavor
Cheddar Jalapeño
Everything Seasoned
Cranberry Cinnamon
Dill Pickle Cheddar
Double Chocolate Chip
Item subtotal:
$0.00
$
0.00
Fresh Baked Sourdough - Sandwich Loaf
$10.00
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Loaf Size
Whole Loaf
Half Loaf
Item subtotal:
$0.00
$
0.00
Payment Method
Cash/Venmo on Pickup
Other
Special Instructions
Any additional details that you want us to know or questions you have!
Pickup Location
Teeth By Heath Dental Lab - 163290 Townline Road, Wausau
Other - Additional Fees may Apply
Pickup Date Preferred (At least 5 days in advance please)
*
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Month
-
Day
Year
Date
Customer Details
Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Preferred Contact Method for Questions
*
Text
Call
Email
Reminders:
After submitting this form, you'll receive an email with your order details. Then, we'll check your order and contact you within 24-48 hours for confirmation of your order.
The turn around time is typically about 5 days, so please make orders in advance. Depending on quantity, some rush orders may be possible.
Other pickup locations may be coordinated, but additional fees may apply.
My email
example@example.com
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