HTML Preview Mrc Grocery Order Form page number 1.
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GROCERY!ORDER!FORM!
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Client!Information!
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Full!Name:!!______________________________________!
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Arrival!Date:!!!______________!
Arrival!Time:!!______________!
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Residence:!______________________________________!
Contact!Number:!______________!
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Check!the!type!of!grocery!and!specify!the!quantity!you!would!prefer.!!In!order!to!guarantee!
delivery,!please!return!this!form!no!later!than!one!(1)!week!prior!to!your!arrival.!Please!indicate!
if!you!require!organic!(O)!or!gluten!free!(GF)!items!in!the!space!provided.!!In!addition,!unless!
otherwise!noted,!generic!or!lower!priced!brands!will!be!selected!where!applicable.!!!
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All!items!will!be!delivered!and!stocked!in!your!residence!for!your!convenien ce.!
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If!items!are!not!available,!do!you!prefer!a!substitution?!!!!! YES! NO!! (Circle!One)!
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If!you!require!a!substitution,!please!indicate!it!in!the!line!provided.!!
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FRUIT Quantity
Apples _________________ ____
Apples _________________ ____
Bananas _________________ ____
Red Grapes _________________ ____
White Grapes _________________ ____
Lemons _________________ ____
Limes _________________ ____
Strawberries _________________ ____
Blueberries _________________ ____
Raspberries _________________ ____
Blackberries _________________ ____
Oranges _________________ ____
Pears _________________ ____
Grapefruit _________________ ____
Pineapple _________________ ____
Cantaloupe _________________ ____