Type of Order *

Special OrderPick Up Order

Customer Information

First Name *

Last Name

Customer Phone *

Day of Pick Up *

MondayTuesdayWednesdayThursdayFridaySaturdaySundayDay of Pick Up

Date of Pick Up *

Payment *

PaidUnpaid

Bread

Parisienne Baguette

Sourdough Baguette

Campagne

Cocodrillo

NY Rye

German Rye (MONDAY ONLY)

Struan (SUNDAY ONLY)

Cranberry Struan (SUNDAY ONLY)

Rosemary Focaccia

Potato Rosemary (SATURDAY ONLY)

Special Instructions (SLICED OR WHOLE?)

Croissants

Plain Croissant

Chocolate Croisssant

Almond Croissant

Everything Croissant

Ham & Swiss Croissant

Special Instructions

Scone

Vanilla

Maple Pecan

Lemon Poppy Ginger

Chocolate Hazelnut

Savory

Special Instructions

Pastry

Cannele

Bouchon

Palmier

Hazelnut Shortbread

Pain au Raisin

Pain du Matin

Bacca Florentine

Apple Turnover

Danish (Seasonal)

Chocolate Twist

Strawberry Twist

Special Instructions

Deli Bread

Birdman

Supergrain

Wheat

Sourdough Deli

Italian Deli

Special Instructions

Rolls

Burger Buns (Dozen)

Sourdough Rolls (8 ct.)

Dinner Rolls (Dozen)

Italian Rolls (Dozen)

Kaiser Rolls (6 ct.)

Special Instructions

***PICK UP ITEMS ONLY***

Pizza Dough

Brioche

Coffee Cake

Challah (Plain Sesame, Poppyseed)

Ciabatta (Rolls or Loaf)

Coffee Carafe

NOTES FOR ORDER

Order Taken By: *

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