Sierra Grains Printable Order Form
Please Print this Page and Mail it with your Payment.
Mail to P.O. Box 500, Tahoe Vista, Ca. 96148

Make Check or Money Order Payable to the Catered Cannoli. Major Credit Cards Accepted

Description

QTY

Price Each

Total

Multi-Grain Bread   $ 4.99  
Orange Almond Poppyseed Bread   $ 5.15  
Apple-Cinnamon-Walnut-Raisin Bread   $ 5.99  
Cinnamon-Hazelnut-Fig Bread   $ 5.69  
Tahoe Squaw Bread   $ 5.15  
Mountain Marble Bread   $ 5.15  
Maple Raisin Spelt   $ 6.19  
Wheat Sourdough   $ 3.39  
Rye Caraway Seed Sourdough   $ 4.99  
Cranberry-Walnut Wheat Sourdough   $ 3.99  
Mountain Muffins   $ 3.39  
Omega Muffins   $ 3.75  
Blueberry Apple Muffins   $ 3.99  
    Subtotal:  
    Shipping: (See Chart)  
    Total Due:  

Select Delivery Preference: UPS or Drop-off

Lake Tahoe Drop-Off Points:  Raley's     Lira's Market     New Moon

Ship UPS:UPS Next Day Air    UPS Second Day Air    UPS Third Day Select    UPS Ground

Select Desired Ship Date:  April 15    April 29    May 13  

Ship To: _________________________________________________


Address: ________________________________________________________________________________________________
Phone: (          )           -                   Fax: (          )           -              

Email: __________________________________                   

Please enclose the following Credit Card information or you good check          

Credit Card:   exp:  

UPS Shipping Chart for Within the Continental United States -- No Charge for Drop Off

Number of Loaves UPS Next Day UPS Second Day UPS Third Day UPS Ground
1 to 3 Loaves $ 38.75 $ 17.50 $ 12.30 $ 5.00
4 to 6 Loaves $ 55.25 $ 29.00 $ 18.40 $ 6.00
7 to 10 Loaves $ 70.25 $ 41.80 $ 26.00 $ 7.00
11 to 13 Loaves $ 80.75 $ 51.40 $ 32.00 $ 8.00
14 to 16 Loaves $ 92.25 $ 60.60 $ 38.30 $ 9.00