Manual Order Form

Manual Order Form

Please print this form out on your printer by selecting PRINT from the FILE menu at the top left of this window. If you need further assistance, please feel free to email us or call 1(800) 723-8823.
Thank you.

If this is your first order - please call 1-800-723-8823
to set up initial data. We require additional info for US Customs!

After printing, either mail or fax to:
Beckmann & Markner Inc.
P.O. Box 207, Grimsby, ON. L3M-4G3 CANADA
fax: 1 905-643-9165

BILL TO:	DELIVER TO:
______________________________	______________________________
______________________________	______________________________
______________________________	______________________________
______________________________	______________________________
______________________________	______________________________
Visa #:	Card Expiry date: ______/____
MC #:	Telephone #:_____________________

Quantity		Product Description	Sizes
Sliced	*Unsliced ()**	Product Description	Avail.
N / A	(____)	Klosterbrot - Monastery Bread	7 lb
(____)	(____)	Klosterbrot - Monastery Bread	4 lb
(____)	(____)	Klosterbrot - Monastery Bread	2 lb
(____)	N / A	Klosterbrot - Monastery Bread	1 lb
N / A	(____)	Bauernschnitten - Farmers Rye Bread	7 lb
(____)	N / A	Bauernschnitten - Farmers Rye Bread	1 lb
N / A	(____)	Vollkornbrot - Whole rye bread	7 lb
(____)	N / A	Vollkornbrot - Whole rye bread	1 lb
N / A	(____)	Pumpernickel	7 lb
(____)	N / A	Pumpernickel	1 lb
N / A	(____)	7 Grain Bread	7 lb
(____)	N / A	7 Grain Bread	1 lb
N / A	(____)	Schinkenbrot - Black Forest Rye	7 lb
(____)	N / A	Schinkenbrot - Black Forest Rye	1 lb
N / A	(____)	Jagdschnitten - Hunter style rye	7 lb
(____)	N / A	Jagdschnitten - Hunter style rye	1 lb
N / A	(____)	Fränkisch - Viking style rye	7 lb
(____)	N / A	Fränkisch - Viking style rye	1 lb
N / A	(____)	Sonnenblumenbrot - Sunflower seed bread	7 lb
(____)	N / A	Sonnenblumenbrot - Sunflower seed bread	1 lb
N / A	(____)	*100% Rye (wheat free, yeast free, no sweetener added)	7 lb
(____)	N / A	*100% Rye (wheat free, yeast free, no sweetener added)	1 lb
(____)	N / A	100% Organic Rye* with Linseed	1 lb
(____)	N / A	100% Organic Rye* with Sunflowerseed	1 lb
(____)	N / A	100% Organic Rye* Saltfree	1 lb
(____)	N / A	100% Organic Rye* Whole grain	1 lb
(____)	N / A	Organic Spelt Bread (with organic wild rice - no yeast)	1 lb
(____)	N / A	Healthy Living - Grain Bread (firm) (made without yeast - contains Organic Stone ground whole wheat flour & gluten,Flaxseeds, Roasted Soy chips, Sunflower seeds,Pumpkin seeds,Hemp meal & hemp flour )	454g 1 lb
(____)	N / A	Münchner Art Stadtbrot - Munich City Bread	24 oz.
(____)	N / A	Müenchner Art Stadtbrot - Munich City Style Bread - light Rye	1 lb
(____)	N / A	Viking Dark Rye	24 oz.
N / A	(____)	Holzofenbrot - Holzoven bread	10 lb
(____)	(____)	Holzofenbrot - Holzoven bread	3 lb
N / A	(____)	Bauernbrot - Round	3 lb
(____)	N / A	Swedish Style light Rye	24 oz.
N / A	(____)	Leinsamen - Linseed-Flax rye	7 lb
(____)	N / A	Leinsamen - Linseed-Flax rye	1 lb
N / A	(____)	Schlesierbrot - Schlesier bread	2 lb
(____)	N / A	Sweet and Sour (light rye with whole caraway)	24 oz.
N / A	(____)	Pumpkin seed (Round)	3 lb

N / A	(____)	Strudel (Apfel - Apple)	14 oz
N / A	(____)	Strudel (Kirsch - Cherry)	14 oz
Sampler Packages
---	(____)	Variety Sampler Package (10x 1pound loaves)	10 lbs

**~~ Seasonal Specialties ~~ available October thru January**
*Stollen*
---	(____)	Advent	24 oz.
---	(____)	Kloster Dresdner	24 oz.
---	(____)	Marzipan	24 oz.
---	(____)	Rum	24 oz.
---	(____)	Cinnamon Almond	24 oz.
*Cookies*
---	(____)	Honey Hearts	8.8oz
---	(____)	Spitzkuchen	8.8oz
---	(____)	Pfeffernusse	8.8oz
**~~ Gift Packages~~**
send a Christmas gift (Nov-Dec) with a card ( at no extra charge)
---	(____)	Advent Package (includes 1 Advent Stollen, choice of RUM or MARZIPAN Stollen, I bag of each of the cookie pckg	5.5 lbs
---	(____)	Kloster Package (includes 1 Kloster Stollen, 1 bag of each cookie and 2 loaves of 1 pound Klosterbrot)	5.5 lbs
---	(____)	Variety Sampler Package (includes 10 assorted 1 lb sliced packages of bread)	10 lbs

Minimum order - 8 pounds
FREIGHT is EXTRA and based on UPS GROUND rates.
PRICES are in U.S. FUNDS

Please fill in the above form, with the quantity desired in the space available ,
and fax to 1-905-945-1128
or mail to
P.O. Box 207
Grimsby ON L3M 4G3 CANADA
Call with your zip code to determine your freight charge - 1-800-723-8823

N/A on the form means that the product is not available sliced or unsliced.

Satisfaction Guaranteed!