JTA Curbside Order Form
Thank you for choosing JTA Supermarkets.
Please complete all fields below and click submit at the end of the form. Submit your orders at any time!
You will be contacted by a JTA Representative to confirm your order and for pickup guidelines. Order requests must be submitted Monday to Friday during the hours 8am-5pm and on Saturday between 8am-12pm. Orders placed after 12pm on Saturdays will be processed for pick up on the following Monday.
For more information please call 652-3611 Ext 777.
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Full Name *
JTA Thank You Card *
Phone Number *
Alternative Phone Number *
E-mail Address *
What items would you like to order? *
List the items (brand, description, size, quantity). Please type each item on a new line (press enter for a new line)  
Method of Payment *
Method of Collection *
Preferred Branch for Pick Up *
Questions and comments
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