Panera Merchandising Order Form

"*" indicates required fields

Requester Information

Date Needed By*

Please allow for a 8-10 week lead time for production on all new orders. Email marketing@risebakingcompany.com for current inventory availability.

Requester Name*

First Last

Requester Email*

Requester Phone*

Distributor/Broker Company

Distributor/Broker Branch

Company Name

List the name of the retail stores that the displays will be used.

Rise Sales Representative*

Shipping Details

Are multiple shipping locations required for this order?*

Yes- Marketing will contact you for more information on locations

Recipient Company*

Attention/ Customer's PO Number

Enter the customer’s PO# here if they require the number to be listed on the BOL.

Ship to Address

Street Address Address Line 2 City State ZIP Code

Select all that apply to the above Shipping Location:

Loading Dock Available Onsite

FedEx Freight Not Accepted

Delivery Appointment Neede

Email and Phone Number to Schedule Delivery Appointment*

Recipient Phone

Recipient Email*

Shipment notifications will be sent to the recipient email provided

Do the Case Labels need to have any specific text included?

Ex: “ATTN: BAKERY MANAGER”

Yes

List the required case label text

Write the text below EXACTLY how the customer requested it be written on the case labels.

Available Panera Merchandising Options

1851 Panera Bread Display with Header

includes required merchandising signage
Height: 59.25″
Enter Quantity (In Eaches)

Please enter a number greater than or equal to 1.

S0102 Panera Bread Display

includes required merchandising signage
4 Black Zip Ties
Sourdough Bowl Shelf Extender
NO Wheels
Height: 48.25″
Enter Quantity (In Eaches)

Please enter a number greater than or equal to 1.

23059 Panera Floor Display Rack

includes required merchandising signage
Height: 36″
Enter Quantity (In Eaches)

Please enter a number greater than or equal to 1.

2117 Panera Bread Bowl Countertop Display

includes required merchandising signage
Height: 10″
Enter Quantity (In Eaches)

Please enter a number greater than or equal to 1.

Notes & Special Requests

This field is for validation purposes and should be left unchanged.