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Grocery Delivery Form

Please tell us about your trip and what services and products you need. Orders must be received at least 3 days prior to check-in.
If you do not hear from us within 3 hours of placing an order, please call us at 850.396.1065.

Fill out the form below our list of packages, or use our Physical Form and email to Shopper@Grocery-Concierge.com

Need help deciding on what groceries you need? Check out our Vacation Meal Planner and other Free Resources on Meal Planning.

Complete Online Form

Download Physical Form

By filling out and signing this form you agree to the terms and conditions of the contract with Organized Occasions Concierge, L.L.C., a Florida limited liability company.

Packages

Click on each package to learn more:

Household Package – $25

Aluminum Foil – 1 roll
Dishwashing Pods – 4 ct
Facial Tissues/Kleenex – 85 ct
Kitchen Trash Bags – 10 ct
Laundry Detergent – 1 bottle, 6 loads-Tide
Liquid Dishwashing Soap – 1 bottle, 10oz
Liquid Hand Soap – 2 bottles
Lysol Wipes – 1 container, 35 ct
Paper Plates – 20 ct
Paper Towels – 2 rolls, Mega-My Size
Plastic Solo Cups – 25 ct
Plastic Wrap – 1 roll
Toilet Paper – 4 rolls
Ziplock Bags – 20 ct, quart size

Morning Beverages – $20

Coffee – 8 to 10 pots, specify roast & brand
Filters – 20 each
Creamer/Half & Half – 1 pint, specify brand & flavor
Sweetener or Sugar – 1 container, 2.5 cups
Tea Bags – 20 ct, specify brand & flavor

Cakes & Balloons – Varies

We can deliver everything you need to celebrate a birthday whether you are celebrating 1 or 100 years!

Custom-made Birthday Cakes and Cupcakes made by local bakers. Let us know your favorite flavors and we will find the best baker for you! What’s a party without a balloon bouquet, banners or pom-pom garland?

Give us a budget and color scheme to work with and we will take care of the rest.

Billing Details

Name *

Best Contact Number *

Secondary Contact Number

Email Address *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Rental Unit Details

Arrival Date & Time *

Departure Date & Time *

Name Reservation Under *

Property/Building Name *

Property/Building Address *

Unit number, suite, etc

Property/Building - City *

Property/Building - State *

Property/Building - ZIP / Postal Code *

Property Management Details

Company Name *

Contact Name *

Contact Phone Number *

Contact Email Address *

Guest Details

Number of Adults *

Number of Children *

Please list their ages

Known Food Allergies? *YesNo

Known Food AllergiesPlease list known food allergies.

Would you like to receive local restaurant menus? *YesNo

How did you hear about us? *

Don’t pack those drink tumblers from home in your luggage…

add another swim suit or pair of shorts!

Our 20oz vacuum sealed double wall tumblers are great for keeping your drinks cold or hot on the beach!

1 Tumbler ($28.99)2 Tumblers ($26.99 ea)3+ Tumblers ($24.99 ea)No Tumbler

Number of Tumblers: *

Unit Setup Packages

Household Package - $28Morning Beverages - $24Cakes & Balloons - VariesPlease read package descriptions above.

Specify Coffee Roast & Brand

Specify Creamer/Half & Half Brand and Flavor

Sweetener or Sugar RequestSplenda is default sweeter

Specify Tea Bags Brand and Flavor

Cake Flavor

Number of People

Balloons, Garland, Banners (Color or Theme)

Delivery DateIf separate from grocery delivery date—additional $25 charge

Grocery Categories

Select desired categories, then list desired items, quantities and brands/specifics/notes.

Grocery Categories

Meat/Deli/SeafoodDairyFrozenProduceBakeryBreadsBeveragesPantryHouseholdLocal Products

Meats/Deli/Seafood

Under each category list desired items, quantities and brands/specifics/notes.

DeliSuggested Items: Lunch Meats, Party Trays, Rotisserie Chicken, Sliced Cheeses

Breakfast MeatsSuggested Items: Bacon, Breakfast Sausage, Lil Smokies

ChickenSuggested Items: Chicken Breasts, Leg/Thigh/Wing, Whole

TurkeySuggested Items: Ground, Whole, Breast

BeefSuggested Items: Beef Patties, Ground Beef, Steak, Brisket

SeafoodSuggested Items: Fresh Fish, Shrimp

PorkSuggested Items: Ham-Whole, Italian Sausage, Pork Chops/Tenderloin, Roast/Shoulder Butt

Processed MeatsSuggested Items: Hot Dogs, Smoked Sausage

Other

Dairy

Under each category list desired items, quantities and brands/specifics/notes.

DairySuggested Items: Butter/Margarine, Dips, Eggs, Sour Cream, Yogurt/Kid’s Yogurt

LiquidsSuggested Items: Coffee Creamer, Half & Half/Heavy Cream, Milk

DoughsSuggested Items: Biscuits Canned, Cinnamon Rolls, Cookie Dough, Crescent Rolls, Pie Crust

CheesesSuggested Items: Cottage Cheese, Cream Cheese, Grated Cheeses

Other

Frozen

Under each category list desired items, quantities and brands/specifics/notes.

Meats/EntreesSuggested Items: Frozen Chicken Nuggets, Frozen Pizza

Frozen VegetablesSuggested Items: Broccoli, Corn, French Fries, Green Beans, Okra (for gumbo), Peas, Spinach, Sweet Potato Fries, Tator Tots

Frozen BreakfastSuggested Items: Breakfast Entrees, Waffles, Hashbrowns

Frozen DessertsSuggested Items: Cool Whip, Pies, Ice Cream (1/2 gal), Ice cream bars, Popsicles

Frozen BreadsSuggested Items: Biscuits (uncooked), Bread Loaf, Garlic Toast, Rolls

Other

Produce

Under each category list desired items, quantities and brands/specifics/notes.

FruitSuggested Items: Apples, Bananas, Coconut, Grapes, Grapefruit, Kiwi, Lemons, Limes, Oranges, Pears, Pineapples, Seasonal Berries, Seasonal Melons

VegetablesSuggested Items: Avocado, Bell Peppers, Broccoli, Carrots, Cauliflower, Celery, Corn, Cucumber, Green Beans, Lettuce, Mushrooms, Okra, Onion, Potatoes, Pre Wash Spring Mix, Ready Made Salad Mix, Spinach, Squash, Tomatoes

HerbsSuggested Items: Basil, Chives, Cilantro, Parsley, Thyme

Other

Bakery

Under each category list desired items, quantities and brands/specifics/notes.

BakerySuggested Items: Artisan Bread Loaf, Bagels, Cake, Donuts, English Muffins, Muffins, Pies

Other

Breads

Under each category list desired items, quantities and brands/specifics/notes.

BreadsSuggested Items: Hamburger Buns, Hot Dog Buns, Sandwich Rounds, Sliced Bread, Tortillas

Other

Beverages

Under each category list desired items, quantities and brands/specifics/notes.

AlcoholSuggested Items: Beer, Liquor, Sparkling Hard Seltzers, Wine

MixersSuggested Items: Bloody Mary Mix, Club Soda, Margarita mix, Tonic Water

JuicesSuggested Items: Bottled Fruit Juices, Juice Boxes, V8/Tomato Juice

Coffee & TeaSuggested Items: Coffee, Hot Chocolate Mix, Tea

Water & SodasSuggested Items: Bottled Water, Gatorade/Sports Drink, Soda-Cans/Bottles, Sparkling Water

Other

Pantry

Under each category list desired items, quantities and brands/specifics/notes.

Canned FruitsSuggested Items: Applesauce, Fruit Cocktail, Mandarin Oranges, Peaches, Pears, Pineapple

Canned VegetablesSuggested Items: Artichoke Hearts, Canned Beans, Corn, Crushed Tomatoes, Diced Tomatoes, Jalapeno Peppers, Pasta/Tomato Sauce, Rotel Tomatoes, Sliced Mushrooms, Tomato Paste

Canned SoupsSuggested Items: Broth, Chicken Noodle Soup, Cream Soups, Tomato Soup

Canned MeatsSuggested Items: SPAM, Canned Chicken Breast, Tuna

Rice/Pasta/GrainsSuggested Items: Breadcrumbs, Couscous, Dry Beans, Elbow Macaroni/Mac &Cheese, Pasta/Noodles, Quinoa, Rice, Skillet Mixes

Baking SuppliesSuggested Items: Brownie Mix, Cake Frosting, Cake Mix, Chocolate Chips, Chocolate Syrup, Condensed Sweetened Milk Cornbread Mix, Flour, Graham Cracker Crust, Marshmallows, Muffin Mix, Pancake/Waffle Mix, Sugar, Sugar Free Sweeteners

Seasoning & SpicesSuggested Items: Chili Powder, Cinnamon, Crushed Red Pepper, Garlic, Grilling Spice Mixes, Oregano, Paprika, Salt & Pepper (Shaker), Seasoned Salt, Taco Seasoning

Condiments/Sauces/Syrup/SpreadsSuggested Items: BBQ Sauce, Cocktail or Tartar Sauce, Hot Sauce, Jelly or Jam, Ketchup, Mayonnaise, Minced Garlic, Miracle Whip, Mustard, Olives, Pancake Syrup, Peanut Butter, Picante Sauce/Salsa, Pickles, Relish, Salad Dressings, Soy Sauce, Steak Sauce, Worcestershire Sauce

Oils/VinegarsSuggested Items: Balsamic Vinegar, Canola/Vegetable Oil, Coconut Oil, Extra Virgin Olive Oil, Peanut Oil, Rice Vinegar, Sesame Oil, Vegetable Oil Spray, Vinegar-White Distilled, Wine Vinegar

Breakfast Bars/CerealSuggested Items: Breakfast Bars, Breakfast Cereal, Granola, Grits, Oatmeal, Pop Tarts, Snack Bars

Chips/Nuts/SnacksSuggested Items: Chips, Microwave Popcorn, Nuts, PF Goldfish, Pretzels

Candy/Gum

Cookies/Crackers

Other

Household

Under each category list desired items, quantities and brands/specifics/notes.

CleaningSuggested Items: Bleach, Dishwasher Pods, Laundry Detergent, Liquid Dish Soap, Lysol Wipes, Fabric Softener Sheets

StorageSuggested Items: Ziplock Bags, Plastic Wrap, Wax Paper

Baking/Cooking/FiltersSuggested Items: Muffin Liners, Disposable Baking Pans, Parchment Paper, Aluminum Foil, Coffee Filters

Personal CareSuggested Items: After Sun/Aloe Gel, Facial Tissues/Kleenex, Sunscreen, Toilet Paper, Liquid Hand Soap<br>Baby: Baby Food/Formula, Diapers/Wipes

GrillSuggested Items: Charcoal, Lighter Fluid, Matches/Lighter

Paper ProductsSuggested Items: Paper Napkins, Paper Towels, Plastic Cutlery, Plastic Solo Cups, Toilet Paper, Kitchen Trash Bags

Other

Local Products

Under each category list desired items, quantities and brands/specifics/notes.

Emerald Coast Ultra Pure Water(24/cs) Minimum 2 case orders: specify BPA free or Aluminum Bottles

Mrs. Jones Cold Brew Coffee Elixir(16 oz bottle)

Big Jerk SodasMinimum 4 bottles. Flavors: Ginger Beer, Lavender Lemonade, Cherry Limeade, Pineapple Upside Down Cake, Blueberry Peach, Key Lime Seltzer

Artisan Charcuterie BoardSize Options: (Small, Med, Large, or Extra Large)

Agreement

I understand that all orders canceled within twenty-four (24) hours prior to the scheduled delivery day/time will be subject to a $100.00 termination fee. In the event of an untimely cancellation (less than 24 hours or not at all), your credit card shall be charged for all items purchased. *YesNo

I agree to the terms and conditions of the contract with Organized Occasions Concierge, L.L.C., a Florida limited liability company. *YesNoThe contract can be viewed | HERE

Name *

Date *

Month *

Day *

Year *

Signature *

Start signing your signature here

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850.396.1065
shopper@grocery-concierge.com

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