Order form

Please fill out the following information. We will get back to you within 24 hours!

This order form is for Tuesday, Oct. 7.

Name

First Name

Last Name

Phone

(###)

###

####

Your Order

Hotel Bread (Half loaf) - $7.50

Hotel Bread (Full loaf) - $15

Shio-Pan Roll $3/roll (minimum 3)

Milk Hearth Bread (1 loaf) - $7.50

Milk Hearth Bread (2 loaves) - $13

Sablé Nantais (10 count) - $6

Additional Order Information (e.g. order quantity, questions, etc.)

Please write the number of Shio-Pan Roll, if you order.

Delivery Time

Please select the delivery time you would like.

Tuesday, Oct. 7 - 3 pm - 4 pm

Tuesday, Oct. 7 - 4 pm to 5 pm

Your Address

Please Note: If you live outside of the Two Rivers Community, delivery is not available. You will have to pick up your order instead.