Delivery Request (for Underhill/Jericho, VT)
If you are feeling sick or trying to stay healthy or otherwise can't get out, your neighbors are here to help. Volunteers in Underhill/Jericho Area are available to pick up groceries or other essentials and bring them to your house. For any questions about this form, about making a delivery request or to volunteer as a courier, please contact Nan Campbell at nancamvt@gmail.com.

You will be contacted after you submit this form and arrangements have been made.
Name *
Your answer
Address for delivery *
Your answer
Phone (if none, N/A) *
Your answer
Email Address *
Your answer
Method of payment *
Do you require anything from a specific store? If so, please list the brand or product and store.
Your answer
Please list all goods/groceries you'd like delivered. We will strive to provide all that you list, but begin with what you feel is most needed.
Your answer
Are there any specific brand products you require, for which you will NOT accept substitutes?
Your answer
Would you like a Newspaper? Let us know which one. We can not guarantee what date it will be, but can try to meet your request.
Your answer
Is there anything else you would like your courier to know?
Your answer
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