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Welcome!
Hi there! Please fill out and submit this form. Payment methods: cash or check at pick up or Venmo (B_Hillman), thanks!
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Name
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Last Name
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Phone Number
Area Code
Phone Number
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Order Form
Please select what you would like to order. Please reach out with an order that isn't on the list!
Sandwich Loaf $8
French Bread $8
Hamburger Buns $6/dozen
Dinner Rolls $6/dozen
Chocolate Chip Cookies $7/dozen
Iced Sugar Cookie Granola $6/12 oz bag
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Choose your porch pick up/meet up day
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Allen, NE porch pick up - Friday, July 10th (ready by 8am)
Wayne, NE pick up/delivery at Bloom & Grace (Friday, July 10th)
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Please Select
Allen, NE porch pick up - Friday, July 10th (ready by 8am)
Wayne, NE pick up/delivery at Bloom & Grace (Friday, July 10th)
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Other Orders
If you have any specifications for your order or want an order placed that is not listed above, please write here. Thanks!
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