Grocery Form

Date of Delivery/Arrival*

MonthDayYear

Name: Matching Hotel Reservation*

First NameLast Name

ARRIVING to PROPERTY @ (this is NOT delivery time)

:HourMinutesAM/PM Option

Address for Delivery (Sheraton Hotel read FAQ 1st!) *

E-mail- *

Cell Phone Number *

Area CodePhone Number

Organic

On everything-don't want if not organicIf it's availableNo

Allow BRAND Substitutions

YesNo

Allow FLAVOR Substitution

YesNo

Fruits

Veggies

Deli Sliced Lunch Meats

Deli Sliced Cheese & Fancy Cheeses

Seasonings, Oils & Baking Goods

Bread & Bakery

Condiments

Pasta & Sauces

Canned Goods

Cereals, Bars, Granola....Breakfast Aisle

Frozen Food

Meat

Snacks

Household Products

Baby Items

Personal Items

Dairy

Drinks

Can't Find What I Wanted: Add it Here

Alcohol- Sign Liquor Release & Attach ID.

Notes/ Special request

Credit Card Info*

Delivery Fee$30.00

Add Tip $5.00

Tip

Subtotal $0.00Tax $0.00Total $0.00

Credit Card Details (If name on CC is different than on hotel reservation note that in Notes Section above)
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

By clicking submit and sending us your order, you authorize that you are the card holder and you authorize Steamboat Grocery Mom to shop on your behalf and charge your credit card accordingly for items purchased plus our 35% service fee +$30.35 delivery.

By submitting my order I understand it is my sole responsibly to provide SGM with the correct address, unit number and management company or contact person to access my unit, failure to do so could result in my order NOT being delivered and an extra fee of $50 for SGM to figure it out for me. If I provide the wrong information for delivery and SGM can not deliver I will still be charge for my groceries. I understand that SGM closes at 5:30pm and deliveries not be made after that time.

Your card will be charged the delivery fee of $30 plus tax when your order is confirmed thus reserving your delivery date. Your card will be charged the final grocery total upon completion of shopping for your order. If delivery was collected from your lodging, that $30 plus tax collected here will be deducted from final grocery bill. Orders cancelled within 7 days of trip will be charged delivery fee. All sales are final. Unused items that you ordered will not be returned or refunded.

If you do not receive a "Thank You" notification after hitting submit your order wasn't processed. SGM will ALWAYS personally email you after an order was received within 24 hrs. If you don't get an email from us check your JUNK mail, if still nothing CALL US. Please call us if you did not get this confirmation screen.