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 *
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Dairy & Eggs
Your answer
Bread
Your answer
Fruit & Veg
Your answer
Meat
Your answer
Dried Food ( Pasta, Rice etc)
Your answer
Soft Drinks
Your answer
Beer, Wine & Spirits (Must be over 18 years old)
Your answer
Household
Your answer
Toiletries
Your answer
Tinned Food
Your answer
Tea & Coffee
Your answer
Biscuits
Your answer
Crisps
Your answer
Confectionery
Your answer
Newspaper & Magazines
Your answer
Other
Your answer
Full Name *
Your answer
Telephone *
Your answer
Payment Method *
Preferred collection time *
A copy of your responses will be emailed to the address you provided.
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