BOOK AN ERRAND
Name
*
First Name
Last Name
Email
*
Phone Number
*
How do you prefer to be contacted?
*
Email
Phone Call
Text
Other
SERVICE:
Grocery Shopping
Prescription Pickup
Dry Cleaning Drop-off/Pickup
Parcel Collection/Delivery
Custom Request
Grocery Shopping:
Have you prepaid for your errand, or does it need to be paid upon pickup?
I prepaid already
I need you to pay for me
There is nothing that needs to be paid for
How much is the estimated total cost for your order?
Do you prefer curbside pickup or in-store shopping?
Curbside pickup
In-store shopping
What items do you need?
Do you have a preferred grocery store?
Yes
No
Store name
Are there any items you would accept substitutions for if unavailable?
Yes
No
Details
Are there any items you would accept substitutions for if unavailable?
Yes
No
List
When should we deliver your groceries?
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Prescription Pickup
Have you prepaid for your errand, or does it need to be paid upon pickup?
I prepaid already
I need you to pay for me
There is nothing that needs to be paid for
How much is the estimated total cost for your order?
Which pharmacy should we go to?
Provide the name or location
Do you need anything else from the pharmacy?
Yes
No
List
Are there any specific instructions for the pharmacist?
e.g., show ID, use insurance
Is the prescription under your name?
Yes
No
if No, provide the name
Is this a controlled substance that requires special handling?
Yes
No
Dry Cleaning Drop-off/Pickup
How much is the estimated total cost for your order?
What items do you want to drop-off/pick up?
List them
Do you have special cleaning instructions?
Yes
No
Details
Which dry cleaner should we use?
Provide the name or address
Are there any specific stains or damages to address?
Yes
No
Details
When should I pick up the dirty items?
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
What time should we deliver the clean items?
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Parcel Collection/Delivery
How much is the estimated total cost for your order?
What type of parcel is it?
Small box
Documents
Large item
Other
Where should we pick it up?
Provide address
Where should we deliver it?
Provide address
Any special handling instructions?
Yes
No
Details
Is the parcel fragile or valuable?
Yes
No
Details
Custom Request
How much is the estimated total cost for your order?
What do you need help with?
Describe the task
Do you have a deadline for this request?
Yes
No
Date
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
What is the desired outcome or goal for this task?
Explain briefly
Will the task require access to specific locations or permissions?
Yes
No
Details
Is this request part of a larger project or event?
Yes
No
Details
What is your budget for this request?
Submit
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