Min
Grocery, Pharmacy, and other pick-up/drop-off services available. Restaurant orders must be placed and PREPAID with the restaurant before we pick up the order. Due to OLCC rules, we are not allowed to deliver alcohol or tobacco products. Closed Wednesday &Thursday.
Email *
What Type of delivery are we doing today? *
What Place(s) are we picking up from today? *
For two or more stops, We charge $6 for each additional stop AFTER the first one.
Place Your Order Here. *
Grocery lists, prescription information or other items we are to pick up.
Are substitutions allowed? *
If you choose to have us call you if we have questions concerning your order, YOU MUST ANSWER YOUR PHONE WHEN WE CALL. If our attempts to call are ignored or you're not available, we will either choose for you or immediately cancel the order before completing and you will have to resubmit the order at a later time when you will be available.
When are we delivering this order? *
(today, tomorrow, asap, specific date, etc.))
Name for the Order? *
Address We Are Delivering To? *
City? *
Phone Number *
Orders will NOT be processed without a working phone number. To avoid delays or cancellation of your order, be by your phone in case we have to contact you.
How will you be paying for this order? *
Large orders ($100 & over) require card payment information in advance. Sorry, we do not accept checks as payment. Cash payments accepted ($100's & $50's used for payment MUST be disclosed prior to ordering - as we don't carry more than $25 in change)
CREDIT CARD INFORMATION *
We require a credit card in advance for all out-of-State orders. For any credit cards that we cannot physically verify with the customer, we may place a “code 10 authorization” request to your card issuer before we do your order. This ensures that the card belongs to the actual cardholder and that we can safely run the card for payment. Doing this may flag your account as suspicious until verified so you may get an alert from your card issuer. You may also have us keep your card on file if you regularly order from us. Unless you specify otherwise, we destroy all card information immediately after use. Make sure you fill out all fields. We may call you for any missing information. You are always welcome to have us take your card information over the phone if you aren't comfortable submitting on line.
Card Number
Expiration Date
Security Code
3 digit on back of card (4 digit on front of Amer. Ex)
Name on card
Billing Address
Billing Zip Code
Preferred Contact Method *
Required
What Is Your Delivery Preference? *
During the pandemic all drivers arrive with face coverings and are vaccinated. You can choose how you want your delivery to arrive.
Special Instructions for our Driver?
Location directions, No knocking, hidden driveway, gate code needed, etc.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy