Grocery-Order-Form

Jekyll Market - On-Island Delivery Order Form

Print and Email to JekyllMarket@gmail.com

Jekyll Market Grocery Order Form

Name: ___________________________________________

Delivery Address: __________________________________ ________________________________________________

Tel _____________________ Del Time: ________________

Credit Card: ______________________________________

Expiration: __________ Code: _______________________

Fresh Fruits & Vegetables:

__ Apples (Red or Green) Qty: _______

__ Oranges Qty: _______

__ Bananas Qty: _______

__ Grapes (Green or Red) Qty: _______

__ Strawberries Qty: _______

__ Lemon or Lime Qty: _______

__ Lettuce Qty: _______

__ Cucumber Qty: _______

__ Tomatoes Qty: _______

__ Bell Pepper Qty: _______

__ Carrots Qty: _______

__ Celery Qty: _______

__ Avocado Qty: _______

__ Potatoes (Idaho or Red) Qty: _______

__ Sweet Potato Qty: _______

__ Other Qty: _______ _______________________________________________

Dairy:

__ Milk (Skim,2%, Whole) Qty: _______

__ Half ‘n Half or Heavy Cream Qty: _______

__ Cream Cheese Qty: _______

__ Sour Cream Qty: _______

__ Eggs Qty: _______

__ Butter or Margarine Qty: _______

__ Yogurt Qty: _______

__ Shredded Cheese Qty: _______

__ Other Qty: _______ _______________________________________________

Deli:

__ Sliced Meat Qty: _______

__ Sliced Cheese Qty: _______

__ Prepared Salads Qty: _______

Pick Meats: __Ham __ Turkey __ Chicken __ Salsalito Turkey __ Buffalo Chicken __Curried Chicken __ London Broil __ Corned Beef __ Pastrami __ Pepperoni __ Capicola __ Genoa Salami

Pick Salads: __ Tuna Salad __ Shrimp Salad __ Chicken Salad - Homestyle or Pesto __ Pimento Cheese (Reg or Jalapeno) __ Lobster Sensation

Pick Cheeses: __ Cheddar __ Swiss __ Provolone __ Mozzarella __ American __ Parmesan __ Havarti __ Pepper Jack __ Smoked Gouda __ Other Qty: _______ ________________________________________________

Bakery:

__ Bread Qty: _______

__ Hotdog or Hamburger Buns Qty: _______

__ Bagels Qty: _______

__ Muffins Qty: _______

__ Cookies Qty: _______

__ Crackers Qty: _______

__ Other Qty: _______ ________________________________________________

Meat/Seafood:

__ Ground Beef Qty: _______

__ Filet Mignon Qty: _______

__ Ribeye Qty: _______

__ Chicken Breast Qty: _______

__ Wild Georgia Shrimp Qty: _______

__ Bacon Qty: _______

__ Sausage Qty: _______

__ Frozen Fish (Cod or Salmon) Qty: _______

__ Other Qty: _______ ________________________________________________

Frozen Foods:

__ Vegetables Qty: _______

__ Pizza Qty: _______

__ Ice Cream Qty: _______

__ Other Qty: _______ ________________________________________________

Snacks:

__ Granola Bars Qty: _______

__ Raisins Qty: _______

__ Apple Sauce Qty: _______

__ Pop Corn Qty: _______

__ Other Qty: _______ ________________________________________________

Spices/Condiments/Baking:

__ Other Qty: _______

________________________________________________ ________________________________________________

Drinks/Beverages:

__ Bottled Water (24 pk) Qty: ________

__ Other Qty: _______

________________________________________________ ________________________________________________

Canned/Dry Items:

__ Other Qty: _______

________________________________________________ ________________________________________________

Supplies: __ Other Qty: _______

________________________________________________ ________________________________________________

Toiletries __ Other Qty: _______

________________________________________________ ________________________________________________

Miscellaneous

________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______

________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______

Please note that we will endeavor to fill you order as close as possible. Note that there are shortages currently of toilet paper, bleach, antibacterial wipes, milk, bread, paper towels, and other sundries. Please be as specific as possible if you want a particular brand. If it is not available, please note if you will not accept a substitute. For example, if you only like Hellman’s mayonnaise, let us know if you will not accept another brand.

There is a $10 delivery fee for Jekyll Island residents and a $75 minimum order. We will box groceries and leave for you on the porch or covered entryway. Someone must be home to receive the order, but personal contact is not necessary. Your credit or debit card will be charged prior to delivery. No cash accepted by drivers. Call in orders are not accepted due to high volume of store traffic. Print a copy and snap a picture of your order with your phone and email to jekyllmarket@gmail.com