Friday Order Form

Your Contact Information

First Name *

Last Name *

Email Address *

Phone number

Donate the Gift of Bread to the Hungry

Donate fresh Four Worlds Bakery bread to local Soup kitchens serving the homeless, the unemployed, the struggling single parents, to those who don't even know where their next meal is coming from. Through a partnership with the Hunger Coalition, your contribution can be tax deductible. Make a selection:

To make a tax deductible contribution, you can either mail your check to the Bakery (make checks payable to the Greater Philadephia Coalition Against Hunger); OR you can pay with a credit card online.

Select an amount below and mail you check to Four Worlds Bakery, 4423 Chestnut, Philadelphia, PA 19104; but make checks payable to Greater Philadelphia Coalition Against Hunger. Be sure to include your mailing address for your receipt.

Go the Hunger Coalition web page here: http://www.hungercoalition.org/donate/index.html Please send a separate email to info@hungercoalition.org and say that your donation is for the Bread Fund. Please note that the Coalition pays a service to get online contributions which will be deducted from your contribution when paid to the Bakery, $1 plus 6.5%. Enter the amount of your donation here

Bagels

Everything Bagel(s)

Sesame Bagel(s)

Poppy Bagel(s)

Garlic Bagel(s)

Plain Bagel(s)

Quanitity Discount: Enter how many dozen bagels you have entered above.

Total $ Bagel Order

Challah

Whole Wheat Challah (enter quantities to order)

WW Challah Loaf with Poppy ($6)

WW Challah Loaf with Raisins & Poppy ($7)

WW Challah Loaf with Sesame ($6)

WW Challah Loaf with Raisins & Sesame ($7)

WW Challah Loaf with No Seeds ($6)

WW Challah Loaf with Raisins & No Seeds ($7)

WW Challah Rolls($1 ea.)

Click here for no egg wash NoEgg

Whole Wheat Challah $ Total

Egg Challah (enter quantities to order)

Egg Challah Loaf with Poppy ($6)

Egg Challah Loaf with Raisins & Poppy ($7)

Egg Challah Loaf with Sesame ($6)

Egg Challah Loaf with Raisins & Sesame ($7)

Egg Challah Loaf with No Seeds ($6)

Egg Challah Loaf with Raisins & No Seeds ($7)

Egg Challah Rolls($1 ea.)

Egg Challah $ Total

Spelt Challah has been discontinued

Total $ for Challah Order

Babka

Chocolate Spelt Babka: $12/35oz. loaf ($6/half loaf). Select how many loaves you want:

Total Babka Order

Croissant

Plain Croissant ($1.25 ea.)

Chocolate Croissant ($1.5 ea)

Raisin Croissant. Shaped like a danish roll, and filled with vanilla pastry cream and raisins. ($1.5 ea.)

Almond Croissant. A regular croissant filled with a delightful made-from-scratch almond cream; topped with sliced almonds. ($2 ea.)

Goat Cheese Croissant: a regular croissant filled with a local goat cheese and topped with shredded Guyere

**Answer Required: How many total croissant did you order? *

Click here to get your $3 discount $3 discount

Total $ Croissant Order

Bread

Whole Wheat Levain ($5.25 per loaf). Enter number of loaves.

Whole Wheat Levain (w/Sesame) ($5.25 per loaf). Enter number of loaves.

Potato Rye Levain($5.50 per loaf). Enter number of loaves.

Olive Rosemary Levain ($7 per loaf). Enter number of loaves.

French Baguette ($3 per loaf). Enter number of loaves.

Pan Levain (White Sourdough) ($5 per loaf). Enter number of loaves.

Volkornbrot, 100% Rye: ($5 per loaf). Enter number of loaves.

Multigrain Levain ($6 per loaf). Enter number of loaves.

Total Bread Order $

Fresh Bulk Ingredients (enter quantity in pounds to order)

Whole Wheat Flour ($1.50/lb.). Enter Number of pounds.

Whole Wheat Berries (not milled) ($1.25/lb.)Enter Number of pounds.

Whole Spelt Flour ($2/lb.) Enter Number of pounds.

Whole Spelt Berries ($1.75/lb.)

Whole Rye Flour ($1.50/lb.)

Hi Gluten White Bread Flour ($1.75/lb.)Enter Number of pounds.

Whole Rye Berries ($1.25/lb.). Enter Number of pounds.

Bran for Kitty Litter ($.25/lb.). Enter Number of pounds.

Sucanant ($2.00/lb.). Enter Number of pounds.

Celtic Sea Salt (Fine Grind) ($10/lb.). Enter Number of pounds.

Total Bulk Ingredients $$

Delivery Information

For pickup, ordering, and payment instructions please visit the web page at http://fourworldsbakery.vpweb.com/Ordering.html.

This Order is for delivery on: *

Packaging Options *

I want my order delivered to: (Specific P/U locations, addresses, times to pick up and other details are on the webpage ordering section: www.fourworldsbakery.com; for special requests, leave a comment on the bottom of the form). *

Loaf Packaging Options. Selections include packaging for all the loaves in this order. (babka cannot be pre-sliced b/c the chocolate sticks to the machine blades).

Delivery Charge: $

Please type in the street address where you want your order delivered to:

Payment Options

Here is your total for this order

I will pay by: (Note: No obligation to pay until you get your order) *

Optional: Recharge my account in the following amount:

You will get a credit of $40 for every $36 you pay. Please start my Buyers Club account with

I will pay by: *

Total charges to add credit to your Buyers Club Account (total for this week's delivery will be deducted from your account)

Additional Comments

Include here any additional comments or special ordering requests

Feedback Comments

Please give me feedback on prior orders here. What did you like and how can the products be improved?

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