Rutland Co-op Curbside Order Form

Rutland Co-op Curbside Order Form

When putting together your order, we hope that you understand that due to inconsistencies with some of our suppliers, we will not always have all the requested items. Please list alternatives to products so that we can make the process as smooth as possible.
Customer Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
If you are a Member-Owner, enter your number below
If you don't know your number just enter: I forgot!
Do you need it to be brought out to your car?

Yes, please!No, thank you I will come into the store
We have broken up our form into the different departments we have at the Co-op. We ask that make sure you note how many of each item you would like.

The space to the far right is for an alternative just in case we don't have the item requested. If no alternative is listed we will assume that you want only the requested item.

If any discounts apply, they will be applied when we take payment over the phone.

When we have the order all set, we will call you to confirm and process the payment at that time over the phone.

What would you like from the produce department?

Please note: please be as specific as possible when listing your vegetables and/or fruits
What would you like from the grocery department?

This includes chips, crackers, canned goods, chocolate, packaged baking supplies, pasta, soup, etc.
What would you like from the cooler/freezer department?

This includes cheeses, meat, drinks, frozen veggies, frozen fruits, gluten-free breads, ice cream, etc.
What would you like from the bulk department?

This includes bulk spices, grains, teas, granolas, and baking supplies
Please list each item and quantity desired
What would you like from the beer & wine department?

PLEASE NOTE: you will need to provide valid identification proving that you are 21+ years of age or older to purchase these items.
Please list each item and quantity desired
What would you like from the health and wellness department?

This includes beauty supplies, supplements, and CBD products.
Please list each item and quantity desired
What would you like from the household department?

This includes paper goods, cleaning supplies and personal care products.
Please list each item and quantity desired

Any special instructions? You will have a chance to pick a pickup time on the next page.
DO NOT include any financial information in the email, we will ask for that over the phone. This is to keep your personal data as safe as possible. We are not responsible for any financial data entered here.
When your order is shopped and ready for payment, we will call to inform you of any substitutions or absences and will process payment over the phone.

Each order is processed on the day you intend to pick it up.

When you arrive, just give us a ring at 802-773-0737 and we can bring your groceries out to your car!

If your order was submitted correctly, you should receive a confirmation email.

Please allow 4 hours for us to process your order. Orders placed after 2:30pm will be processed the following business day.
When would you like to pick up your groceries?*
Should be Empty:

What would you like from the produce department?