Order Form
We are trying our best to meet the needs of our community during this unprecedented time. We are working on our full online ordering system, but until then please let us do your shopping for you. Please place your order on Monday and Tuesday. We will have your order ready for pick up on Thursday or Friday between 12-4 pm. We will email or call when it is ready for pickup and payment method. We appreciate your patience with us.
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Name
First Name
Last Name
Preferred Time for pick up
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2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Please specify Thursday or Friday pick up
Produce
Please indicate amount required ie. lbs or number of units
Please indicate amount required ie. lbs or number of units
Please indicate amount required ie. lbs or number of units
Please indicate amount required ie. lbs or number of units
Please indicate amount required ie. lbs or number of units
Please indicate amount required ie. lbs or number of units
Please indicate amount required ie. lbs or number of units
Please indicate amount required ie. lbs or number of units
Please indicate amount required ie. lbs or number of units
Please indicate amount required ie. lbs or number of units
Please indicate amount required ie. lbs or number of units
Please indicate amount required ie. lbs or number of units
Please indicate amount required ie. lbs or number of units
Meat
Please indicate the average amount in lbs or packs
Please indicate the average amount in lbs or packs
Please indicate the average amount in lbs or packs
Please indicate the average amount in lbs or packs
Please indicate the average amount in lbs or packs
Please indicate the average amount in lbs or packs
Please indicate the average amount in lbs or packs
Dairy
Milk, eggs etc.
Deli
Please indicate the amount in 100 grams or slices of meat and or cheese
Please indicate the amount in 100 grams or slices of meat and or cheese
Please indicate the amount in 100 grams or slices of meat and or cheese
Please indicate the amount in 100 grams or slices of meat and or cheese
Please indicate the amount in 100 grams or slices of meat and or cheese
Please indicate the amount in 100 grams or slices of meat and or cheese
Please indicate the amount in 100 grams or slices of meat and or cheese
Grocery
Pasta, coffee, sauces etc.
Additional Items
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