Grocery pickup form
This form is intended for grocery pickup of 20 items or less. If you need to pick up more than 20 items please visit our store. NOTICE: We are limiting the number of people in our store at one time. If the store has reached capacity, you may be asked to wait in your car until the store is clear. Thank you for your cooperation!
Please fill out the form below with your grocery list. When filling out this form please do your best to include the brand, item name, and quantity. Once you have submitted this form a confirmation message will appear at the bottom of the screen. If you believe that for some reason your form did not get submitted, please email us at firstname.lastname@example.org. Please do not call or message us via Facebook regarding potential form errors. Once we have received your order form please allow us time to process your order. You will receive an email or phone call when your order is ready for pickup. Thank you for your cooperation!