Bread Order Form

Loaf of your Choice

Loaves of Sweet Bread for every event!
Your Name
Your E-mail
example@example.com
Your Contact Number

Area CodePhone Number
Date Required

MonthDayYear
For any order I will need at least 48 hours notice or there will be a rush fee, this fee will depend on the order being requested and will be discussed in the consultation.
Number of Loaves
Flavor
Glaze
Delivery Location (Town)
If you would prefer to Pick Up in Cottondale, AL, please let me know. We can arrange delivery/pick up as needed.
Additional Info
If these loaves are for a special event, please add that information here.
A signed contract and 50% deposit will be completed before order is confirmed.
If you have any question's regarding any answers on this form, please reach out to me at loosabakehouse@yahoo.com or 205-246-2574.
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