Grocery Pick Up

I am requesting a Grocery/Medication Pick Up

Pick Ups I Need... *

Groceries Medication - Call your pharmacy to advise of volunteer pick up Other - Please Specify below

Other: *

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Grocery List *

Preferred Store *

Preferred Date *

Submit

The Process for Pick Ups

Fill out the form
A volunteer will call and confirm your order and drop off time.
The volunteer shops at your preferred store or substitute if necessary and will take a picture of your receipt.
The volunteer will call before delivery and give you the total amount. You must write a cheque in their name for the payment and leave it in your mailbox.
Volunteer leaves groceries/medication at front door and picks up cheque (no physical contact).