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Grocery Delivery

Step 1 of 8

12%

Customer Information
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 5 p.m. the day of arrival. A $35 delivery charge and a 25% service charge will be added to your bill.
Name*
First Last
Email*
Arrival Date*
MM slash DD slash YYYY
Phone Number*
If items are not available do you prefer a substitution?*
- Yes
- No
Include a 15% gratuity for grocery stocking?*
- Yes
- No

Cheese
Cheese
- Mozzarella
- Swiss
- American
- Provolone
- Monterrey
- Cheddar
- Munster
Mozzarella*
Swiss*
American*
Provolone*
Monterrey*
Cheddar*
Munster*
Dairy Products
Dairy Products
- Milk
- Milk 2%
- Milk 1%
- Half & Half
- Yogurt
- Butter
- Margarine
- Sour Cream
- Cottage Cheese
- Cream Cheese
Milk*
Milk 2%*
Milk 1%*
Half & Half*
Yogurt*
Butter*
Margarine*
Sour Cream*
Cottage Cheese*
Cream Cheese*

Fruit
Fruit
- Bananas
- Apples
- Strawberries
- Watermelon
- Pineapple
- Grapes
- Cantelope
- Oranges
- Pears
- Lemons
- Limes
- Peaches
Bananas*
Apples*
Strawberries*
Watermelon*
Pineapple*
Grapes*
Cantelope*
Oranges*
Pears*
Lemons*
Limes*
Peaches*
Vegetables
Vegetables
- Tomatoes
- Avocado
- Potatoes
- Lettuce
- Pepper
- Zucchini
- Carrots
- Onions
- Cucumber
- Garlic
- Mushrooms
Tomatoes*
Avocado*
Potatoes*
Lettuce*
Pepper*
Zucchini*
Carrots*
Onions*
Cucumber*
Garlic*
Mushrooms*

Cold Cuts
Cold Cuts
- Ham
- Turkey
- Salami
- Pepperoni
- Proscuitto
- Pastrami
- Roast Beef
Ham*
Turkey*
Salami*
Pepperoni*
Proscuitto*
Pastrami*
Roast Beef*
Meat & Poultry
Meats & Poultry
- Hamburger Patties
- Steak
- Filet Mignon
- Rotisserie Chicken
- Chicken Breasts
- Sausage
- Bacon
- Hot Dogs
Hamburger Patties*
Steak*
Filet Mignon*
Rotisserie Chicken*
Chicken Breasts*
Sausage*
Bacon*
Hot Dogs*
Seafood (upon availability)
Seafood
- Swordfish
- Salmon
- Grouper
- Sea Bass
- Shrimp
- Scallops
- Crab Legs
Swordfish*
Salmon*
Grouper*
Sea Bass*
Shrimp*
Scallops*
Crab Legs*

Additional Items/Other Requests
Item Quantity Comments
Additional Questions or Comments
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Our Address

Park City
3070 Rasmussen Ste 190
Park City Utah 84098
Heber
520 N Main St Ste C446
Heber City, UT 84032

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