Senior or Shut-In Shopping
After you fill out this order request, an email is sent to our team. We will contact you to go over details and availability before the order is completed. If you would like faster service and direct information on when we can schedule your shopping trip please contact us at (402) 533-1133 or
Email address *
Your Name
Phone Number for Questions during shopping
Delivery address
Are you a new or existing customer?
Clear selection
Where do you need us to do your shopping? *
Please Select at least one or more if you want us to check multiple locations
What day would you like to have your items delivered (please give as much notice in advance as possible)
What time would you like to have your items delivered?
How do you plan to pay for your order?
Clear selection
Special Delivery Instructions - (i.e. leave on side porch check will be on door etc)
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