Your Name *

or the name you want on your special order.

First Name

Last Name

Main Phone Number *

in the event we need to contact you regarding the timeline or specifics of your request.

(###)

###

####

Alternate Phone Number

(###)

###

####

Deadline Frequency *

How are you looking to structure pickup for this order?

Just one time.

Weekly Standing Order, on Wednesdays

Weekly Standing Order, on Thursdays

Weekly Standing Order, on Fridays

Weekly Standing Order, on Saturdays

Weekly Standing Order, on Sundays

Other, specified below:

Pick Up Date *

(First) Date you'd like to pick up this order:

MM

DD

YYYY

Earliest Arrival Time *

The earliest hour you'd arrive to pick up this order? Please note our hours of operation above!

Hour

Minute

Second

AM PM

Special Order Agreement *

A receipt total for the item(s) in your standing order will be emailed. If you would need to cancel an order, please reply to the receipt with adjustments, cancellation, or postponement of your standing order within 24 hours of receiving. Adjustments within 72 hours of your standing order date and time may not be possible and may not be able to be honored. We will absolutely do our best to accommodate if possible. Orders are pickup only and not eligible for delivery at this time. Filling out and sending this form within 72 hours of intended pick up date and time may not be possible to fulfill. Orders are not confirmed without a confirmation response being sent to the above-provided email within 24 hours to coordinate payment.

I consent to this.