GROCERY ORDER FORM - Lloydminster Cash & Carry

Lloydminster Cash & Carry

Grocery Order Form
How it works:
1. Fill out your name, phone number, email address, and when you would like to pick up your order - currently we have a 1 day wait time.
2. Fill out the grocer order. Please be as specific as possible when entering items.
3. Allow for product substitutions - selecting yes allows us to pick similar items if what you requested is out of stock.
4. Click Submit!
We will call you with the order total when the order is ready for pick up. Payments are made curbside or in-store.
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Curbside or In-store Pickup*

CurbsideIn-store
Pickup Date*

MonthDayYear
*Items added to the shopping list on the online flyer will need to be manually added into the list on this form
Food Order

Please be as specific as possible when ordering items
Items*
Allow Product Substitutions*

YesNo
Payments are made curbside or in-store at the time of pickup. We will contact you with the total when the order is ready for pickup.

There may be limits on certain items due to high demand.

If you wish to edit the order after you click submit, please call us at (780) 875-2270 as soon as possible.

*By clicking SUBMIT below, you agree to pay for the order in full, in-store at the time of pickup.
Should be Empty:

Lloydminster Cash & Carry