Grocery Delivery
Fill out for scheduled grocery delivery
ROS SERVICES MEMBER INFORMATION
BECOME A MEMBER FOR GREAT DISCOUNTS
ROSS Member ID
*
THIS IS GIVEN TO EACH MEMBER OF ROS SERVICES AT SIGN UP AND IS REQUIRED FOR SPECIAL DISCOUNTS. IF YOU DO NOT HAVE A MEMBER ID TYPE N/A.
Would you be interested in becoming a member of ROS Services to access our discounts for Grocery Delivery or other services we provide?
*
Yes
Not Now
I'm already a member
OTB REGISTRATION
PLEASE PROVIDE YOUR INFORMATION TO BE PUT IN OUR SYSTEM.
Name
*
First Name
Last Name
Phone Number
*
Email
*
CREATE YOUR GROCERY LIST
WE HAVE REACURRING DELIVERY OPTIONS AND MORE AVAILABLE. CHECK US OUT!
Major Grocery Stores
*
Please Select
Walmart
Target
Food lion
Publix
Costco
Harris Teeter
Other
Grocery Store Name
IF YOU CHOSE "OTHER" ON THE QUESTION ABOVE FILL OUT STORE NAME HERE. FOR EVERYONE ELSE LEAVE BLANK.
Create Your Grocery List
*
Special Instructions?/ Allergies to look out for?/Anything else we should know about your Shopping list? If nothing type N/A
*
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SUBSTITUTION REFERENCES
A BASIC REFFERENCE OF WHAT YOU LIKE FOR YOUR SUBSTITUTIONS
How would you like your driver to be substituting items?
*
Please Select
Choose from my "Substitution List"
Ask me through text/chat each time
THIS LETS THE SHOPPERS KNOW YOUR PREFERENCE.
SUBSTITUTE LIST
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DROP-OFF INFORMATION
PLEASE MAKE SURE TO FILLOUT DELIVERY ADDRESS INFORMATION CORRECTLY
Name on Delivery
*
THE PERSON WHO WILL SIGN FOR THE ORDER AT DROP-OFF.
County you live in
*
Please Select
Charleston
West Ashley
Mount Pleasant
Goose creek
Daniel Island
Johns Island
North Charleston
Delivery Address
*
Street Address
Apt #
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
How will you be paying today?
*
Please Select
Card
ROSS Points
Add check to my next bill
DONT FORGET YOU CAN ALWAYS CHOOSE IF YOUR A MEMBER OF ROS SERVICES TO, "ADD CHECK TO MY NEXT BILL"
We require at each drop-off to have the Security code given present in order for the drop off to be allowed. Security code will be sent via text or email.
*
Send through text
Send through email
Please list the number below that you would like to receive a text/code during shopping and delivery.
*
Please enter a valid phone number.
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CUSTOMIZE YOUR DELIVERY
CHOOSE YOUR DRIVER AND MORE!
Choose your Delivery Driver
*
Please Select
Courtney Ballard 5* (Decade of Experience)
Delivery Time Slots:
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IM READY FOR DELIVERY!
SIGN THE REQUIRED DOCUMENTS STATING THE ABOVE INFORMATION IS ACCURATE TO BEGIN DELIVERY PRECEDURES.
SIGNATURE REQUIRED
*
Submit
Submit
Should be Empty: