Uplyme Stores Order Form
Please complete the form below with the items and quantities you require.

Orders will be ready for collection the following day except for orders placed after midday on Saturday. These will be ready on Monday.

All items are subject to availability. Thank you!
Email address *
Love Uplyme Shop Local
Dairy & Eggs
Bread
Fruit & Veg
Meat
Dried Food ( Pasta, Rice etc)
Soft Drinks
Beer, Wine & Spirits (Must be over 18 years old)
Household
Toiletries
Tinned Food
Tea & Coffee
Biscuits
Crisps
Confectionery
Newspaper & Magazines
Other
Full Name *
Telephone *
Payment Method *
Preferred collection time *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy