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.

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 *

Cash

Debit Card

Credit Card

TT Card (In store ONLY)

Online Credit Card

Method of Collection *

In store (CASH ONLY)

Curbside Pickup

Delivery (ONLINE CREDIT CARD PAYMENTS ONLY - Subject to delivery fee)

Preferred Branch for Pick Up *

Questions and comments

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