Little Stream u.S. Order Form
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NAME ______________________________________________________________________

ADDRESS ___________________________________________________________________

APT # ______________________________________________________________________

CITY _______________________________________________________________________

STATE _____________________________________________________________________

ZIP ________________________________________________________________________

COUNTRY ___________________________________________________________________


WORK PHONE #___________________________

HOME PHONE # ___________________________

SOCIAL SECURITY #________________________


Bread and treats Price Quantity Total
Bread      
Whole Wheat† (680g) $3.90 ____________ ____________
Sesame† (680g) $4.05 ____________ ____________
Millet Flax† (750g) $4.05 ____________ ____________
Rice Sunflower† (750g) $4.05 ____________ ____________
Whole Spelt*† (750g) $4.35 ____________ ____________
Spelt Sesame*† (750g) $4.45 ____________ ____________
Spelt Rice*† (750g) $4.45 ____________ ____________
Spelt Raisin*† (750g) $4.70 ____________ ____________
Rye Spelt*† (800g) $4.65 ____________ ____________
Spelt Hemp*† (750g) $4.95 ____________ ____________
Kamut*† (750g) $4.35 ____________ ____________
Rice Loaf**† (750g) $4.85 ____________ ____________
Raisn Rice Loaf**† (750g) $5.20 ____________ ____________
Quinoa**† (750g) $5.40 ____________ ____________
Buckwheat**† (750g) $4.70 ____________ ____________
treats      

Cinnamon Buns*† (170g each) -individual
-dozen

$1.65
$13.95
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Carrot Cake*† (170g) $1.85 ____________ ____________
Raspberry Squares* (95g) $1.85 ____________ ____________
Vegan Raspberry Squares*† (95g) $1.85 ____________ ____________
Blueberry Squares* (95g) $1.85 ____________ ____________
Pesto Rolls* (95g) $2.00 ____________ ____________
Turnovers* (110g) $1.85 ____________ ____________
Vegan Turnovers*† (95g) $1.85 ____________ ____________
Palm Leaves* (75g) $1.70 ____________ ____________
Cinnamon Palm Leaves* (70g) $1.70 ____________ ____________

Strudel* -whole
-half

$7.95
$4.80
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Cool Hemp Energy Cookies*†
- chocolate (60g)
- raisin (60g)
$1.35
$1.35
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Double chocolate cookies, gluten free**† (60g)

$1.30 ____________ ____________
Special Seasonal Items      
Traditional Holiday Fruit Cake (with Brandy)
- 1 lb
- 2 lb
$9.90
$17.55
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Fruit Cake (Non alcohol)
- 1 lb
- 2 lb
$9.35
$16.25
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.10¢ discount for bulk items and unsliced bread   ____________
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* wheat alternative, ** gluten free, † vegan
SUBTOTAL   ____________
First time order (prepay or Visa)      
Extra Shipping (if applicable) SHIPPING   ____________
       
  TOTAL   ____________
Payment by Credit Card

Visa

Card Number:______________________________________________ Expiry Date:___________________