NO TIME TO SHOP - WE CAN HELP
SENIOR CITIZEN DISCOUNT

Instructions

Please fill out the form as completely as possible. We will call you to confirm your order. Please indicate the date and time you want your order delivered.

Terms

All orders must be paid for when delivered. We may require a deposit on all orders over $100.00. We charge only for our time which begins when we arrive at the store and ends when we have completed your shopping. We do not mark-up any purchases.

Client Details

Shopping Preferences

Delivery Informaton

Produce

Breads/Crackers/Cookies

Breakfast Foods

Condiments/Sauces

Snacks

Dry Goods

Canned Goods

Bakery/Deli

Paper Goods

Health/Beauty

Cleaning Supplies

Dairy

Frozen Food

Meats/Seafood

Other