Pink Ribbon Bagel Pre-Order Form

Pink Ribbon Bagel® Pre-Order Form

October 1 – 31, during Breast Cancer Awareness Month, we’re featuring our Pink Ribbon Bagel – it’s made with cherry chips, dried cherries and cranberries, vanilla, honey, and brown sugar. Twenty-Five cents from each Pink Ribbon Bagel sold at all Springfield and Branson area bakery-cafes will benefit Breast Cancer Foundation of the Ozarks. **October 9 – 100% of all Pink Ribbon Bagel sales will be donated**

PRE-ORDERING Pre-Ordering eases any day you’re hosting an event. Just fill out this form and fax it to your neighborhood bakery-cafe at least two days prior to the day you wish to pick up your order. Then, please call the store directly to ensure that your order was received. PINK RIBBON BAGELS ADDITIONAL SPREADS QUANTITY AVAILABLE IN 8 OZ. TAKE HOME CONTAINERS _____ Baker’s Bunch (18 bagels) $12.99 _____ Plain _____ Reduced Fat Plain _____ Baker’s Dozen (13 bagels) _____ Blueberry $9.99 _____ Honey Walnut _____ Hazelnut _____ Bagel Pack (13 bagels & 2 tubs of spreads) $13.99 ALL FLAVORED VARIETIES ARE REDUCED FAT

ADDITIONAL ITEMS QUANTITY ____ Coffee Tote: $13.59 (please select coffee type) ____ Light Roast ____Dark Roast ____Hazelnut ____Decaf

CUSTOMER INFORMATION Customer name ______Address ______Daytime Phone ______Evening Phone ______

ORDER PICK-UP INFORMATION

Pick-up Day/Date ______, October ______Pick-Up Time ______Store Location ______Fax Number ______

ORDER DELIVERY INFORMATION ($10 delivery fee)

Delivery Day/Date______, October_____ Delivery Time ______

SOUTHWEST MISSOURI AREA PANERA BREAD LOCATIONS  1570 E. Battlefield ……………………. Phone (417)889-0070 Fax (417) 889-0071  500 S. National…………………………. Phone (417) 862-9898 Fax (417) 862-3312  2924 E. Sunshine…………………….. Phone (417) 889-0440 Fax (417) 889-0430  4100 S. Campbell . . . . . …………… Phone (417) 886-8833 Fax (417) 886-9499  2535 N. Kansas Expressway………… Phone (417) 520-1313 Fax (417) 520-1311  2407 Green Mountain Dr. Branson, MO……..Phone (417) 336-4550 Fax (417) 334-1323