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Grocery Delivery Form
NAME:___________________ ARRIVAL DATE:______________ARRIVAL TIME:___________
PHONE: __________________
- Please complete the grocery list below.
- Check the type of groceries and specify the quantities you would like to be delivered to your unit.
- In order to guarantee delivery, please return this form no later than 48 hours prior to your arrival.
- If items are unavailable, would you prefer a substitution? Yes No
- A $ 25.00 delivery charge and a 15 % service charge will be added to your bill.
FRUITS & VEGETABLES CONDIMENTS PASTA & CANNED GOOD
QTY Description QTY Description QTY Description
___Apples__________________ ___Ketchup__________________ ___Canned Beans_____________
___Pears____________________ ___Mustard__________________ ___Tomato Sauce_____________
___Red Grapes_______________ ___Mayo____________________ ___Canned Tomatoes__________
___Strawberries______________ ___Salad Dressing_____________ ___Canned Vegetables_________
___White Grapes_____________ ___Steak Sauce_______________ ___Canned Soup______________
___Lemons__________________ ___BBQ Sauce_______________ ___Canned Soup______________
___Oranges__________________ ___Vinegar__________________ ___Mac & Cheese_____________
___Grapefruit________________ ___Pickles___________________ ___Chili_____________________
___Cantaloupe_______________ ___Croutons_________________ ___Rice_____________________
___Bananas__________________ ___Olives___________________ ___Canned Tuna______________
___OTHER__________________ ___Other____________________ ___Spaghetti_________________
___Salad Bag_________________ ___Other____________________ ___Rigatoni__________________
___Mushrooms_______________ ___Penne____________________
___Iceberg Lettuce____________ COOKING ___Macaroni Elbows___________
___Romaine Lettuce___________ QTY Description
___Linguine__________________
___Green Leaf Lettuce_________ ___Olive Oil________________ ___Angel Hair________________
___Other Lettuce______________ ___Garlic Salt_______________ ___Parmesan Cheese___________
___Baby Carrots______________ ___Sugar___________________ ___Canned Fruit_______________
___Carrots___________________ ___Spices___________________
___Celery___________________ ___Marshmallows____________ MEATS
___Cucumber________________ ___Cake Mix________________ ___Steaks____________________
___Avocado_________________ ___Flour____________________ ____________________________
___Green Beans______________ ____Gravy Mixes_____________ ___Chicken___________________
___Bell Peppers______________ Baking Supplies:_____________ ___Bacon____________________
___Broccoli_________________ ___________________________ ___Ground Beef_______________
___Cabbage_________________ ___________________________ ___Hot Dogs__________________
___ Garlic Bulbs_____________ ___________________________ ___Sausage Links______________
___Onions__________________ ___________________________ ___Ground Turkey_____________
___Potatoes_________________ ___Pork Chops________________
___Tomatoes________________ ___Sausage___________________
___Corn on the cob___________ ___Fish______________________