Bread Order Form !

Bread Order Form -BeSaltyBoutique.com 

Pick & Local Meets Available:| Information at bottom of form  

Bread Selection 

(Check all that apply and specify quantity) 

Bread Flavor	Size/Price	Quantity
☐ Regular Sourdough 🍞	Bread Bowl – $5	_____
	Regular Loaf – $10	_____
☐ Jalapeño Cheddar 🌶️🧀	Bread Bowl – $6	_____
	Small Loaf – $6	_____
☐ Lemon Blueberry 🍋🫐	Bread Bowl – $6	_____
	Small Loaf – $6	_____
☐ Garlic Butter 🧄🧈	Bread Bowl – $6	_____
	Small Loaf – $6	_____
☐ Garlic Parm 🧄🧀	Bread Bowl – $6	_____
	Small Loaf – $6	_____
☐ Tomato Basil 🍅🌿	Bread Bowl – $6	_____
	Small Loaf – $6	_____
☐ Cinnamon Raisin 🍂	Bread Bowl – $6	_____
	Small Loaf – $6	_____
☐ Cinnamon Sugar ✨	Bread Bowl – $6	_____
	Small Loaf – $6	_____
☐ Pepperoni & Mozzarella 🍕🧀	Bread Bowl – $6	_____
	Small Loaf – $6	_____

 

 

 

Sourdough Starter Options 

(Check all that apply and specify quantity) 

Starter Option	Price	Quantity
☐ Dehydrated Starter Packets – Easy Storage	$7	_____
☐ Wet Sourdough Starter – Ready to Use	$9	_____
☐ Starter Kits – Includes:	$19	_____
• Dehydrated or Wet Starter (choose one)
• Glass Jar with Measurement Markings
• Mini Spatula

Bread Total: $________Starter Total: $________Grand Total: $________ 

Payment Options 

• ☐ Cash 

• ☐ Credit/Debit Card 

• ☐ Online Payment- Cash app, Venmo- 

Locations:  

• Be Salty Boutique –  

• West OC- 9935 Stephen Decatur Hwy, Ocean City, MD  

• Salisbury 233 East Main Street, Salisbury, MD 21891 

• Sussex Academy Aquatics Center - 

• 2115 Airport Road Georgetown, DE 19947  

Local Meet – From Milton De, To West OC & Sal. Md – Everywhere in between – Ellendale-Milford- Lewes- Millsboro-Longneck-Rehoboth-Dewey-Fenwick-Bethany-Ocean Pines-Berlin-Selbyville-Dagsboro-Frankford-Gumboro Etc.  

Fresh Stock First Come First Serve pick up - Available Daily  

• Makers Market –Georgetown, DE 

• Sussex Academy Aquatic Center  

• Be Salty Boutique  

1. West OC  

1. Salisbury  

Customer Information 

Name: ____________________________ Phone: ___________________________ 

Email: ____________________________        Pickup Date/Time: __________________ 

Pick Up Location: ________________