Kymar Acres Baked Goods Order Request
Please fill out order form completely. Orders must be received by 4pm Mondays for Tuesday baking and by 4pm Thursdays for Friday baking. We will confirm the order with you and provide you with a total. Payment for orders due upon delivery/pick up. Cash, check and card payments will be accepted. There will be an additional 2.75% fee for card use. New forms for each drop off/pick up date need to be filled out. Thank you!
Email address *
Date *
MM
/
DD
/
YYYY
Name: *
Your answer
Phone: *
Your answer
Address: *
Your answer
Pick up options *
Cinnamon Swirl Bread $5.00 *
Cinnamon Rolls $5.00 (6 rolls per pan with buttercream icing) *
English Muffin Bread $4.00 *
Cinnamon Raisin English Muffin $4.25 *
Italian, Plain $4.00 *
Italian, Herbed $4.50 *
White Sandwich Bread $4.00 *
Banana Bread $4.00 *
Zucchini Bread $4.00 *
Jams, Pickles, Salsa *
Jams $5.00: Strawberry, Strawberry Rhubarb, Rhubarb, Peach, Concord Grape jelly, Apple Butter, Red Raspberry, Cherry Jelly. Pepper Jams $5.00: Mild Pepper, Hot Pepper, Raspberry Hot Pepper, Dragons Breath. Pickles & Salsa: Bread & Butter $5.00, Old Fashioned Dill $4.50, Sweet Pickle Relish $3.50, Radish Relish $3.50, Apple Sauce $3.50, Pickled Beets $5.50, Salsa $6.00
Fruit Pies $10 please indicate flavor and quantity *
9" deep dish, double crust fruit pies. Flavors may be limited so get your orders in early. If the flavor you have selected is sold out for the week, I will email you with the other options. Flavors available: Apple, Blueberry, Cherry, Peach and Strawberry Rhubarb
Additional Comments/Requests:
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy