Valean Bakery Wholesale Order Form

Customer Information

Date Name (Individual or Company) Address Phone Number WhatsApp Number

Product Request

Product	Size	Order
Wheat Bread	Large
White Bread	Extra Large
	Large
	Medium
Sardine Bread	Large
Chocolate Bread	Large
Trek Bread	Large

Collection Details

Frequency of Collection Preferred Day of the Week Time of Collection (Range) Number of Racks Needed Delivery or Pickup Start Date for Supply/Collection

Agreement

Signature Date

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