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Mountains of Groceries Order Form
Please complete the below form
Name
Name of Condo
Phone
Arrival Date and Time
I would like organic when possible
Yes
No
We will substitute brands unless you say
Yes
No
Fruits and Vegetables:
Apples - Quantity and Brand Name if any
Bananas - Quantity and Brand Name if any
Cantaloupe - Quantity and Brand Name if any
Box of Clementines - Quantity and Brand Name if any
Grapefruit - Quantity and Brand Name if any
Grapes - Quantity and Brand Name if any
Lemons - Quantity and Brand Name if any
Limes - Quantity and Brand Name if any
Oranges - Quantity and Brand Name if any
Pears - Quantity and Brand Name if any
Strawberries- Quantity and Brand Name if any
Berries/Cherries - Quantity and Brand Name if any
Melon - Quantity and Brand Name if any
Misc Fruit - Quantity and Brand Name if any
Lettuce (specify) - Quantity and Brand Name if any
Salad Bag - Quantity and Brand Name if any
Salad Bag w/ Dressing - Quantity and Brand Name if any
Croutons - Quantity and Brand Name if any
Avocado) - Quantity and Brand Name if any
Bell Peppers - Quantity and Brand Name if any
Asparagus - Quantity and Brand Name if any
Broccoli - Quantity and Brand Name if any
Bag of Baby Carrots - Quantity and Brand Name if any
Celery - Quantity and Brand Name if any
Cucumber - Quantity and Brand Name if any
Garlic Bulbs - Quantity and Brand Name if any
Green Beans - Quantity and Brand Name if any
Mushrooms - Quantity and Brand Name if any
Onions - Quantity and Brand Name if any
Potatoes - Quantity and Brand Name if any
Tomatoes - Quantity and Brand Name if any
Cut Veg w/ dip Tray - Quantity and Brand Name if any
Tomatoes - Quantity and Brand Name if any
Dairy:
U Bake Cinnamon Rolls- Quantity and Brand Name if any
U Bake Toll House cookies - Quantity and Brand Name if any
A dozen of Eggs (size) - Quantity and Brand Name if any
Butter (Tub)- Quantity and Brand Name if any
Butter (1lb. box of sticks)- Quantity and Brand Name if any
Margarine - Quantity and Brand Name if any
Milk (specify %)- Quantity and Brand Name if any
Soy Milk- Quantity and Brand Name if any
Half & Half (pt or qt)- Quantity and Brand Name if any
Flavored Creamers - Quantity and Brand Name if any
Can of Whipped Cream - Quantity and Brand Name if any
Orange Juice - Quantity and Brand Name if any
Yogurt (specify flavor)- Quantity and Brand Name if any
Gourmet Cheese:
Block Cheese (specify)- Quantity and Brand Name if any
Shredded Cheese (specify) - Quantity and Brand Name if any
Kraft Singles - Quantity and Brand Name if any
Cottage Cheese - Quantity and Brand Name if any
Cream Cheese - Quantity and Brand Name if any
Sour Cream - Quantity and Brand Name if any
Block Cheese (specify)- Quantity and Brand Name if any
Gouda - Quantity and Brand Name if any
Brie - Quantity and Brand Name if any
Blue - Quantity and Brand Name if any
Feta - Quantity and Brand Name if any
Goat - Quantity and Brand Name if any
Parmesan - Quantity and Brand Name if any
Fresh Mozzarella - Quantity and Brand Name if any
Chips/Crackers:
Tortilla Chips - Quantity and Brand Name if any
Potato Chips - Quantity and Brand Name if any
Pretzels - Quantity and Brand Name if any
Pringles - Quantity and Brand Name if any
Microwave Popcorn- (Box of 3) - Quantity and Brand Name if any
Nuts (specify)- Quantity and Brand Name if any
Chip Dip - Quantity and Brand Name if any
Salsa (mild, med or hot)- Quantity and Brand Name if any
Crackers- Quantity and Brand Name if any
Cookies - Quantity and Brand Name if any
Chips Ahoy - Quantity and Brand Name if any
Oreos - Quantity and Brand Name if any
Smore Supplies for the fire pit:
Graham Crackers - Quantity and Brand Name if any
Big Marshmallows - Quantity and Brand Name if any
Hershey's Choc-6 Pack - Quantity and Brand Name if any
Soda/Water:
Bottled Water-Case-16oz- Quantity and Brand Name if any
Bottled Water-Gallon jug - Quantity and Brand Name if any
Sparkling Water Bottles - Quantity and Brand Name if any
Soda - Quantity and Brand Name if any
Red Bull cans - Quantity and Brand Name if any
Gatorade-32 oz bottles - Quantity and Brand Name if any
Gatorade-8pk of 20 oz - Quantity and Brand Name if any
Bottled Juices:
Cranberry - Quantity and Brand Name if any
100% Cranberry Juice - Quantity and Brand Name if any
Apple - Quantity and Brand Name if any
Grape - Quantity and Brand Name if any
Misc Juice - Quantity and Brand Name if any
Canned Goods:
Canned Soup - Quantity and Brand Name if any
Chili - Quantity and Brand Name if any
Tomato Sauce - Quantity and Brand Name if any
Canned Tuna - Quantity and Brand Name if any
Canned Vegetables - Quantity and Brand Name if any
Canned Beans - Quantity and Brand Name if any
Canned Fruit - Quantity and Brand Name if any
Pasta:
Kraft Mac & Cheese - Quantity and Brand Name if any
Pasta (specify type) - Quantity and Brand Name if any
Spaghetti Sauce - Quantity and Brand Name if any
Parmesan Cheese - Quantity and Brand Name if any
Rice - Quantity and Brand Name if any
Condiments:
Ketchup - Quantity and Brand Name if any
Mustard - Quantity and Brand Name if any
Mayonnaise - Quantity and Brand Name if any
Salad Dressing (Specify) - Quantity and Brand Name if any
Pickles - Quantity and Brand Name if any
Olives - Quantity and Brand Name if any
Relish - Quantity and Brand Name if any
BBQ Sause - Quantity and Brand Name if any
Gravey - Quantity and Brand Name if any
Salsa - Quantity and Brand Name if any
S/P Combo - Quantity and Brand Name if any
Spice - Quantity and Brand Name if any
Olive Oil (16 oz is smallest) - Quantity and Brand Name if any
Other Oil (Specify) - Quantity and Brand Name if any
S/P Combo - Quantity and Brand Name if any
Sugar- Quantity and Brand Name if any
Breakfast:
Cereal - Quantity and Brand Name if any
Oatmeal - Quantity and Brand Name if any
Pancake Mix- Quantity and Brand Name if any
Syrup - Quantity and Brand Name if any
Syrup (100% Maple)- Quantity and Brand Name if any
Honey- Quantity and Brand Name if any
Jelly or Jam- Quantity and Brand Name if any
Peanut Butter (Specify Crunchy or Creamy)- Quantity and Brand Name if any
Coffee - Quantity and Brand Name if any
Coffee Filters - Quantity and Brand Name if any
Hot Cocoa (Box of pkts) - Quantity and Brand Name if any
Tea (Box of tea bags)- Quantity and Brand Name if any
Frozen Foods:
Waffles - Quantity and Brand Name if any
Pancakes - Quantity and Brand Name if any
Pizza - Quantity and Brand Name if any
Chicken Nuggets - Quantity and Brand Name if any
French Fries - Quantity and Brand Name if any
Tator Tots - Quantity and Brand Name if any
Lasagna - Quantity and Brand Name if any
TV Dinners - Quantity and Brand Name if any
Misc Frozen - Quantity and Brand Name if any
Ice Cream - Quantity and Brand Name if any
Ice Cream Novelties - Quantity and Brand Name if any
Popsicles - Quantity and Brand Name if any
Meats:
Steaks - Quantity and Brand Name if any
Chicken Breasts - Quantity and Brand Name if any
Ground Beef - Quantity and Brand Name if any
Ground Turkey - Quantity and Brand Name if any
Bacon - Quantity and Brand Name if any
Sausage Links/Patties - Quantity and Brand Name if any
Hot Dogs - Quantity and Brand Name if any
Rotissiere Chicken - Quantity and Brand Name if any
Pork Chops - Quantity and Brand Name if any
Frozen whole turkey - Quantity and Brand Name if any
Fish (Specify) - Quantity and Brand Name if any
If from Deli-specify lbs.:
Ham - Quantity and Brand Name if any
Turkey- Quantity and Brand Name if any
Salami - Quantity and Brand Name if any
Roast Beef - Quantity and Brand Name if any
Other - Quantity and Brand Name if any
Cheddar Cheese - Quantity and Brand Name if any
American Cheese - Quantity and Brand Name if any
Provolone Cheese - Quantity and Brand Name if any
Swiss Cheese - Quantity and Brand Name if any
Other - Quantity and Brand Name if any
Macaroni Salad - Quantity and Brand Name if any
Potato Salad - Quantity and Brand Name if any
Fried Chicken - Quantity and Brand Name if any
Tofu - Quantity and Brand Name if any
Breads:
White Bread - Quantity and Brand Name if any
Wheat Bread - Quantity and Brand Name if any
Rye Bread - Quantity and Brand Name if any
Italian Bread - Quantity and Brand Name if any
Fresh Garlic Bread - Quantity and Brand Name if any
Ready-bake breads - Quantity and Brand Name if any
Bagels-6 Pack - Quantity and Brand Name if any
Bagels-Individual - Quantity and Brand Name if any
English Muffins - Quantity and Brand Name if any
Hot Dog Buns - Quantity and Brand Name if any
Hamburger Buns - Quantity and Brand Name if any
Box of little Donuts - Quantity and Brand Name if any
Individual Bakery Donuts - Quantity and Brand Name if any
Muffins (Flavor) - Quantity and Brand Name if any
Miscellaneous Items:
Baby Food - Quantity and Brand Name if any
Diapers- (Size)- Quantity and Brand Name if any
Baby Wipes- Quantity and Brand Name if any
Deck of Playing Cards- Quantity and Brand Name if any
Disposable Camera - Quantity and Brand Name if any
Batteries - Quantity and Brand Name if any
Candy - Quantity and Brand Name if any
Paper Plates - Quantity and Brand Name if any
Plastic Silverware - Quantity and Brand Name if any
Plastic Cups - Quantity and Brand Name if any
Alcohol
Beer - Quantity and Brand Name if any
Club Soda / Tonic - Quantity and Brand Name if any
Champagne - Quantity and Brand Name if any
Gin - Quantity and Brand Name if any
Juice - Quantity and Brand Name if any
Mixer - Quantity and Brand Name if any
Red Wine / White Wine - Quantity and Brand Name if any
Rum - Quantity and Brand Name if any
Sake - Quantity and Brand Name if any
Whiskey- Quantity and Brand Name if any
Vodka - Quantity and Brand Name if any
Date of Birth
I acknowledge that THE GROCERY SHOPPER will not be held accountable for consumption of alcohol by minors under the age of 21. I certify that I am 21 years of age or older. I can and will provide picture identification to agent of THE GROCERY SHOPPER upon request.
Agree
Do no agree
Items not listed that you would like to purchase, comments or special instruction.
Email:
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