Bakery Products Order Form

Products

Bagels (Bags of 6) $15.00 per 6 bagels

Select flavours below (Price is per bagel selected must be in multiples of 6)

$2.50CAD

Bagels (Less than 6)

Please select flavours below

$3.00CAD

Enter coupon

Total

$0.00CAD

Date

MonthDayYear
Date
Order Type*

Pick-up, Farmers MarketDelivery ($3.00 Delivery fee within Burlington and Hamilton, must be at least 6 bagels)Pick-up, Other (please indicate prearranged pickup location)
Pick-up/Delivery Date - Must be at least next day*

MonthDayYear
Date
Special Instructions / Prearranged pick location
Payment Method

CashCredit/Debit CardE-Transfer (scott@harcbagels.com)
Customer Details
Name

First NameLast Name
Phone Number*
Email*
example@example.com
Delivery Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reminders:
- After submitting this form, we'll check your order and we'll contact you within 24-48 hours for confirmation.
- The turn around time depends on the ordered items.
- Taxes and Shipping Fee will be applied for every order.
Should be Empty:

Customer Details