Grocery Order Form. Office: (808) PO BOX Pukalani, HI 96788

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Piers Goodman
5 years ago
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Guest Information Guest Name / Phone Number: Accommodation Details: Total Guests In Party: Arrival Flight Landing Time: Allow Substitution of Items (yes/no): Only Shop at 1 Store?

Please complete and submit this order form to us by email at info@mauiactivityconcierge.com. Service Fee For Grocery Service - There is a $60.

1 Guest Information Guest Name / Phone Number: Accommodation Details: Total Guests In Party: Arrival Flight Landing Time: Allow Substitution of Items (yes/no): Only Shop at 1 Store? (yes / no): Grocery Order Form This service will purchase, deliver, and store your items away in your accommodation. Please complete and submit this order form to us by at info@mauiactivityconcierge.com. Service Fee For Grocery Service - There is a $60.00 minimum fee or 35% of the total fee (whichever is greater) - A 3% credit card processing fee applies and a 2% admin fee applies to the total - Each additional stop, beyond the first store, will be $30.00 each stop - Services from Lahaina to Kapalua) or North shore (Paia) have a $90.00 minimum fee - The final total will be process to your card once the service is completed - Provide billing details online here Grocery Service Delivery or call us at Helpful Tips for Grocery Orders - Be specific of your needs (brands, sizes, etc) - List any allergies or sensitivities that you may have - Submit grocery order ahead of time (72+ hours prior to arrival) - Ask questions, we are happy to ensure you make the most of this service BEVERAGES PLEASE ENTER THE BRAND & SPECIFICS QUANTITY COFFEE LBS TEA CONTAINERS BOTTLED WATER BOTTLES ORANGE JUICE GALLONS APPLE JUICE GALLONS CRANBERRY JUICE GALLONS SOFT DRINKS BOTTLES CLUB SODA BOTTLES MIXERS WINE BOTTLES BEER

2 SPIRITS BOTTLES GARNISHES BREADS PLEASE ENTER THE BRAND & SPECIFICS QUANTITY LOAF LOAVES BAGELS ENGLISH MUFFINS 6 PACK TORTILLAS 10 PACK HAMBURGER BUNS 8 PACK HOT DOG BUNS 8 PACK PITA 6 PACK MUFFINS PASTRIES PASTA/RICE PLEASE ENTER THE BRAND & SPECIFICS QUANTITY PASTA BOXES RICE BOXES MARINARA SAUCE JARS ALFREDO SAUCE JARS DAIRY PLEASE ENTER THE BRAND & SPECIFICS QUANTITY CHEDDAR LBS SWISS LBS CHEESE (OTHER) LBS MILK GALLONS BUTTER/MARGARINE STICKS/ TUB

3 YOGURT / OZ SOUR CREAM / OZ CREAM CHEESE / OZ EGGS DOZEN VEGETABLES PLEASE ENTER THE BRAND & SPECIFICS QUANTITY AVOCADOS ASPARAGUS BROCCOLI BUNCHES CARROTS CELERY BUNCHES CUCUMBERS CORN ON THE COB EGGPLANT GREEN BEANS GARLIC CLOVES LETTUCE MUSHROOMS ONIONS POTATOES PEPPERS ROMAINE LETTUCE SQUASH TOMATOES

4 FRUITS PLEASE ENTER THE BRAND & SPECIFICS QUANTITY APPLES BANANAS CANTALOUPE STRAWBERRIES BLUEBERRIES GRAPES KIWIS LIMES LEMONS MANGOS ORANGES GRAPEFRUIT PAPAYA PINEAPPLE WATERMELON BEEF PLEASE ENTER THE BRAND & SPECIFICS QUANTITY STEAK HAMBURGER HOT DOGS CHICKEN PLEASE ENTER THE BRAND & SPECIFICS QUANTITY BREASTS THIGHS WINGS WHOLE CHICKEN

5 PORK PLEASE ENTER THE BRAND & SPECIFICS QUANTITY BACON PACKAGES SAUSAGE SPECIALTY MEAT PLEASE ENTER THE BRAND & SPECIFICS QUANTITY VEAL PACKAGES LAMB DELI MEAT PLEASE ENTER THE BRAND & SPECIFICS QUANTITY TURKEY LBS HAM LBS ROAST BEEF LBS SALAMI LBS SEAFOOD PLEASE ENTER THE BRAND & SPECIFICS QUANTITY SHRIMP LBS CRAB LBS LOBSTER LBS FISH FILET LBS SMOKED SALMON PACKAGES FROZEN PLEASE ENTER THE BRAND & SPECIFICS QUANTITY WAFFLES PACKAGES

6 ICE CREAM GALLONS CONDIMENTS PLEASE ENTER THE BRAND & SPECIFICS QUANTITY KETCHUP BOTTLES MUSTARD BOTTLES MAYONNAISE JARS BBQ SAUCE BOTTLES PEANUT BUTTER JARS JELLY/PRESERVES JAR S MAPLE SYRUP BOTTLES HONEY JARS SALAD DRESSING BOTTLES OLIVE OIL BOTTLES BALSAMIC VINEGAR BOTTLES PICKLES JARS OLIVES JARS SNACKS/CEREAL PLEASE ENTER THE BRAND & SPECIFICS QUANTITY CEREAL BOXES GRANOLA BOXES PANCAKE MIX BOXES CHIPS BAGS SALSA JARS CRACKERS BOXES PRETZELS BAGS POPCORN BAGS COOKIES BOXES

7 NUTS CANS BABY PRODUCTS PLEASE ENTER THE BRAND AND SPECIFICS QUANTITY DIAPERS PLEASE ENTER THE BRAND & SPECIFICS SWIM DIAPERS WIPES BABY FOOD FORMULA RICE CEREAL SPECIAL REQUESTS BEACH & POOL PLEASE ENTER THE BRAND & SPECIFICS QUANTITY WATER WINGS RAFTS NOODLES SUNSCREEN AFTER SUN LOTION LIP BALM AQUA SOCKS GOGGLES SNORKEL SET FINS BOOGIE BOARD BEACH FOOTBALL BEACH VOLLEYBALL SPECIAL REQUESTS SPECIAL REQUESTS PLEASE ENTER THE BRAND & SPECIFICS QUANTITY

Grocery List. Product Name Unit Size Quantity Special Requests, i.e, Specific Brand, Organic, Gluten-Free

Grocery List. Product Name Unit Size Quantity Special Requests, i.e, Specific Brand, Organic, Gluten-Free Grocery List Please complete the grocery list below. Check the type of product and specify the quantity you would prefer. In order to guarantee delivery, please scan and email this form no later than 48