GROCERY ORDER FORM - High Level

TGP Your High Level Grocer

Grocery Order Form
How it works:
1. Fill out your name and *pickup date.
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 in-store. Payments are made in-store at the time of pick up.

*We currently have a 1 day wait time for pickup and delivery orders.

ORDER INFORMATION
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email *
example@example.com
Pickup Date *

Month Day Year
*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 *

Yes No
Payments are made 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) 926-2231 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: