Grocery, Cargo & Fuel Pick-Up Services Request

Grocery, Cargo & Fuel Pick-up Services
Please select*

Groceries & Cargo Pick-up & DeliveryFuel DeliveryQuote for Reference Only
Groceries & Cargo Pick-up & Delivery Details
Please verify with the store that the order is ready for pick up before completing this request form.

All pickups take place on Fridays between 9am and 11am.
Internal Use
Select a Friday for your Items to be Picked Up

MonthDayYear
Name of the person the order is placed under
Full Name
Customer ID
This will automatically be filled in if you have signed up for an account over 24 hours ago
Email
example@example.com
Phone Number
Please provide a phone number where we can reach you if there are any problems picking up your order
Delivery Location

Savary DockHernando DockOther
Regular delivery runs to Savary dock takes place every Friday afternoon.

Delivery to Hernando dock will resume during first week of June.
Special Arrangement? (eg. different delivery day)

Yes!
Details of Special Request Regarding Delivery Day
Please choose your stores for pick up and indicate order/confirmation no.
Store Name #1
Order/Conf No. #1
Add another
Store Name #2
Order/Conf No. #2
Add another
Store Name #3
Order/Conf No. #3
Add another
Store Name #4
Order/Conf No. #4
Add another
Store Name #5
Order/Conf No. #5
Please upload your order confirmations

Emails can be printed as PDFs and uploaded here
Cancelof
Notes for Driver
Fuel Delivery
Full Name
Customer ID
Email
example@example.com
Phone Number
Please enter a valid phone number.
Fuel Type
Number of Gasoline Containers to Fill
Number of Diesel Containers to Fill
Fuel Containers Pick-up Date

MonthDayYear
Date
Please note:

Fuel containers picked up on Mondays and Wednesdays will be delivered on Wednesdays and Fridays, respectively (ie. 2 days after pick-up date). Fuel containers picked up on a Friday will be delivered on the following Monday.
Fuel Containers Pick-up Location
Please Specify Other Pick-up Location
Fuel Drop-off Location
Please Specify Other Drop-off Location
Special Notes for Driver

Grocery, Cargo & Fuel Pick-up Services

Groceries & Cargo Pick-up & Delivery Details

Fuel Delivery

Cost Estimate

Groceries & Cargo Pick-up & Delivery Fee Schedule

Fuel Pick-up & Delivery Cost