Harbor Halo Go – Errand Booking Form

Welcome to Harbor Halo Go Booking Form
Book Here

Please fill out all information correct
Contact Info
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Who are you booking this for?

MyselfMy ParentMy Client
Errand Details
Pick-Up Address (Required)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Drop-Off Address (Optional if same)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Service Type: Which errands do you need us to run today? (select all that apply) : question*

Prescription pickupGrocery run (under $100)Mail/package drop-offBank or bill paymentPet or household item runTech help or phone setup
If Other, type here
Recurring?*

One-timeWeeklyBi-weeklyNot sure
Payment Details
How will you pay? We do not accept cash

ZelleCashAppSquare linkAlready paid (bundle client)First-time Free PromoOther
If other, type how you will pay here
Is there anything else we should know?
(Medication name, preferred grocery store, gate code, etc.)
Preferred Errand Day

MonthDayYear
Date
Preferred Time Window

Morning (8am–11am)Midday (11am–2pm)Afternoon (2pm–5pm)Evening (5pm–7pm)
Note: All times are requested windows. We’ll confirm your errand time after reviewing driver availability.
Are you flexible on the time?

YesNo
Would you like us to call or text to confirm your appointment?

CallTextEither is fine
Comments / Questions

Service Limits – Please Read Before Booking
We’re here to make your errands easier! To keep our team and customers safe — and to make sure your order fits in a standard vehicle — please review our service guidelines below.

✅We Can Help With:	🚫 We Cannot Transport or Purchase:
💊Prescription pickups from licensed pharmacies (sealed & in the original labeled container)	❄️ Anything requiring refrigeration beyond a small cooler (e.g., large catering orders, frozen bulk groceries)
🛒Grocery runs (under $100)	🚬 Tobacco or vaping products
📬 Mail/package drop-offs	🔫 Firearms, ammunition, or weapons of any kind
🏦 Bank or bill payments	💊 Any package containing controlled substances not in the original labeled pharmacy container
🐾 Small household or pet supply runs	🚫 Illegal substances or drug paraphernalia
📱 Tech help or phone setup	☣️ Hazardous chemicals, explosives, or flammable materials (e.g., propane tanks, gasoline)
🤝 Other light errands — just ask!	📦 Large appliances, mattresses, or bulky furniture
	🛠️ Construction materials (e.g., lumber, drywall, concrete)
	🪣 Loose bulk items (e.g., mulch, soil, gravel)

Welcome to Harbor Halo Go Booking Form