Bakery Order Form
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Bakery Items
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Cookies - by the dozen
$22.00
$
22.00
Quantity
1
2
3
4
5
6
7
8
9
10
Flavor
Dark Chocolate Chunk
Carrot Cake
Cookies & Cream
Coffee Cake
Peanut Butter
Doughnuts - by the dozen
$15.00
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Flavor
Old Fashioned Baked
Milk
Bread Loaf
$15.00
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Type
Zucchini
Banana
Amish Apple Fritter
Hummingbird
Chocolate Cinnamon
Chai Latte
Mini Loaf
$8.00
$
8.00
Quantity
1
2
3
4
5
6
7
8
9
10
Flavor
Zucchini
Banana
Amish Apple Fritter
Hummingbird
Chocolate Cinnamon
Chai Latte
Bagels - by the dozen
$16.00
$
16.00
Quantity
1
2
3
4
5
6
7
8
9
10
Flavor
Plain
Everything
Cinnamon Raisin
Scones - 4pk
$15.00
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Flavor
Orange Cranberry
Lemon Blueberry
Cinnamon Chocolate Chip
Hazelnut Chocolate
Muffins - 4pk
$15.00
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Flavor
Cannoli
Double Chocolate Espresso
Lemon Poppyseed
Blueberry
Scones - 8pk
$25.00
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Flavor
Orange Cranberry
Lemon Blueberry
Cinnamon Chocolate Chip
Hazelnut Chocolate
Muffins - 8pk
$25.00
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Flavor
Cannoli
Double Chocolate Espresso
Lemon Poppyseed
Blueberry
Local Pick-up
Free
$
Free
Quantity
1
Delivery
$15.00
$
15.00
Quantity
1
Credit Card
Submit Order
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