Online Grocery Order Form

Name:
Email:
Arrival Date:
Arrival Time:
Property:
Telephone #
Credit Card #
Exp :
Name on Card:
If Items are not available do you prefer a substitution? Yes   No
Include a 15% gratuity for grocery stocking? Yes   No

Please complete the grocery list below. Check the type of grocery and specify the quantity you would prefer. In order to guarantee delivery, please return this form no later than 24 hours prior to your arrival. Groceries will be delivered and stocked in your unit by 5pm the day of arrival A $35 delivery charge and a 20% service charge will be added to your bill.