Sourdough and Bread
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
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I am ordering
Sourdough $10 + cost of ingredients for inclusions
Baked bread $10+
Sourdough choice (open to suggestions!)
Plain $10
Brown Sugar Cinnamon $13
Blueberry $13
Chocolate Chip $12
Jalepeno Cheddar $14
Pizza (Pepperoni, Italian Seasoning, Mozzerella) $15
Garlic Rosemary $13
Garlic Parmesan $14
Garlic and Herb $13
Other
“Other”
Bread choice
Banana $14
Banana w Chocolate Chips $15
Pumpkin $14
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Dropoff or Pickup
*
Dropoff - $10
Pickup - Free (Circle Pines)
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I need my item by
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Signature
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By signing I am agreeing to payment at or before the time of pickup
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