Bread Order Form

A form to order Kevin's delicious homemade bread.

All breads cost $4.00 per loaf, payable upon receipt.


Special requests for bread, rolls, cupcakes, or cookies will be considered.
Please provide the details of your special request in the Additional Notes section below.


Deadline for Submissions: For Friday pickup, your order must be submitted by Wednesday. For Sunday pickup, your order must be submitted by Friday.


For Bread Emergencies, give Kevin a call at (703)675-9952.

Contact Information

Name and other contact information for your bread order

Phone number to contact you in case we have a question regarding your order

Email address in case we have a question about your order

Bread Order Details

Select which breads you would like to order and where you would like to pickup your order.

All breads are made with honey, sea salt, yeast, and water.

Key ingredients for this bread include white flour and organic oats.

Key ingredients in this bread include fresh-ground whole wheat flour, white flour, flax, sunflower, and sesame seeds.

Key ingredients in this bread are white flour, white chocolate chips, and dried cranberries.

Key ingredients for this bread include white flour, organic oats, cinnamon, and sugar.

Please specify the location and day you would like to pickup your bread order.

Please choose the option that best describes your order. If you wish to receive bread once a week, please select the "weekly" option; this will become a "standing order" and will continue indefinitely, until it is cancelled or changed.

If you need to cancel or change an existing order, please let us know in the Additional Notes section.

If you have any additional questions or comments about your order, please indicate those here. Special requests for bread, rolls, or cupcakes will be considered. Please provide the details of your special request here. Thank you!