Enter in all data every time you pickup food from a store or restaurant.
First and Last name.
Select a store from the dropdown list.
Big Lots - Frederick Ave, Gaithersburg, MD
ChickFila - Lakeview Overlook, Ashburn, VA
ChickFila - Dulles Crossing, Sterling, VA
Cooseman - Conowingo Ave, Jessup, MD
KFC - Farmwell Hunt, Ashburn, VA
MOMs - Elden St, Herndon, VA
Panera - Little Patuxent, Columbia, MD
Panera - Solomons Is Rd, Edgewater, MD
Panera - Georgetown Blvd, Eldersburg, MD
Panera - Seneca Meadows, Germantown, MD
Panera - Frederick Rd, Germantown, MD
Panera - Century Blvd, Germantown, MD
Panera - Reisterstown Rd, Pikesville, MD
Panera - E. Middle Ln, Rockville, MD
Panera - Suburban Ave, St Paul, MN
Panera - Clifton Blvd, Westminster, MD
Pappa Johns - Suburban Ave, St Paul, MN
Starbucks - Broadlands Center, Broadlands, VA
Starbucks - Highway 36W, St Paul, MN
Starbucks - Southbank St, Sterling, VA
TJ - Asaph St, Alexandria, VA
TJ - Jennifer Rd, Annapolis, MD
TJ - Highland St, Arlington, VA
TJ - Brimfield Dr, Ashburn, VA
TJ - Wisconsin Ave, Bethesda, MD
TJ - Lee Hwy, Centerville, VA
TJ - Marie Curie Dr, Elkridge, MD
TJ - Main Street, Fairfax, VA
TJ - Leesburg Tpke, Falls Church, VA
TJ - Darnestown Rd, Rockville, MD
TJ - Reisterstown Rd, Pikesville, MD
TJ - Jefferson St, Rockville, MD
TJ - Columbia Pike, Silver Spring, MD
TJ - Kenilworth Dr, Towson, MD
TJ - 14th St NW, Wash DC, MD
TJ - 25th St NW, Wash DC, MD
TJ - Florida Ave, Wash DC, MD
TJ - Pennsylvania Ave, Wash DC, MD
WEG - McGaw Rd, Columbia, MD
WEG - Wormans Mill Rd, Frederick, MD
WEIS - Rockville Pike, Rockville, MD
Estimate the total POUNDS as closely as you can (numbers ONLY).
What part of the day was your pickup?
How much time did you spend on this pickup? Include travel time to/from location.
Please estimate how many miles you drove for this entire support.
Select 'Scheduled' if it is your normal day/time.
Was there an issue with store personnel or something else?
Please add information about this pickup if it is special or unusual.
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