May Order Form

E-mail Address: *

Your Name *

Delivery Address *

Please select one: * New Customer Returning Customer

Quantity of whole wheat loaves per week: * 01234

Please indicate your whole wheat preference: TraditionalHoney

If your order includes two or more whole wheat loaves per week, please select your bonus Artisan loaf preference: Traditional Sourdough

Would you like to order WEEKLY Specialty Loaf delivery? * Yes No

If yes, please indicate your bagel preference: Plain Cinnamon Sugar Blueberry Parmesan Cheese

Would you like to order A LA CARTE Specialty Loaf delivery? (If yes, please indicate quantity below) * Yes No

Week 1: Cinnamon Raisin Swirl Loaf - how many loaves? 012

Week 2: Multigrain Harvest Loaf - How many loaves? 012

Week 3: Bagels - How many packages of 6? 012

Select bagel type: Plain Cinnamon Sugar Blueberry Parmesan Cheese

Week 4: English Muffin Bread - How many loaves? 012

Week 5: Lemon Poppyseed Bread - How many loaves? 012

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