Jekyll Market Grocery Order FormÂ
Name: ___________________________________________Â
Delivery Address: __________________________________ ________________________________________________Â
Tel _____________________ Del Time: ________________Â
Credit Card: ______________________________________Â
Expiration: __________ Code: _______________________Â
Fresh Fruits & Vegetables:
 __ Apples (Red or Green) Qty: _______Â
__ Oranges Qty: _______Â
__ Bananas Qty: _______Â
__ Grapes (Green or Red) Qty: _______Â
__ Strawberries Qty: _______Â
__ Lemon or Lime Qty: _______Â
__ Lettuce Qty: _______Â
__ Cucumber Qty: _______Â
__ Tomatoes Qty: _______Â
__ Bell Pepper Qty: _______Â
__ Carrots Qty: _______Â
__ Celery Qty: _______Â
__ Avocado Qty: _______
 __ Potatoes (Idaho or Red) Qty: _______
 __ Sweet Potato Qty: _______Â
__ Other Qty: _______ _______________________________________________Â
Dairy: Â
__ Milk (Skim,2%, Whole) Qty: _______Â
__ Half ân Half or Heavy Cream Qty: _______
 __ Cream Cheese Qty: _______Â
__ Sour Cream Qty: _______Â
__ Eggs Qty: _______Â
__ Butter or Margarine Qty: _______Â
__ Yogurt Qty: _______
 __ Shredded Cheese Qty: _______Â
__ Other Qty: _______ _______________________________________________Â
Deli: Â
__ Sliced Meat Qty: _______Â
__ Sliced Cheese Qty: _______Â
__ Prepared Salads Qty: _______Â
Pick Meats: __Ham __ Turkey __ Chicken __ Salsalito Turkey __ Buffalo Chicken __Curried Chicken __ London Broil __ Corned Beef __ Pastrami __ Pepperoni __ Capicola __ Genoa Salami Â
Pick Salads: __ Tuna Salad __ Shrimp Salad __ Chicken Salad - Homestyle or Pesto __ Pimento Cheese (Reg or Jalapeno) __ Lobster Sensation Â
Pick Cheeses: __ Cheddar __ Swiss __ Provolone __ Mozzarella __ American __ Parmesan __ Havarti __ Pepper Jack __ Smoked Gouda __ Other Qty: _______ ________________________________________________Â
Bakery:Â Â
__ Bread Qty: _______Â
__ Hotdog or Hamburger Buns Qty: _______
 __ Bagels Qty: _______Â
__ Muffins Qty: _______Â
__ Cookies Qty: _______Â
__ Crackers Qty: _______Â
__ Other Qty: _______ ________________________________________________Â
Meat/Seafood: Â
__ Ground Beef Qty: _______
 __ Filet Mignon Qty: _______
 __ Ribeye Qty: _______Â
__ Chicken Breast Qty: _______Â
__ Wild Georgia Shrimp Qty: _______
 __ Bacon Qty: _______
 __ Sausage Qty: _______
 __ Frozen Fish (Cod or Salmon) Qty: _______
 __ Other Qty: _______ ________________________________________________Â
Frozen Foods: Â
__ Vegetables Qty: _______Â
__ Pizza Qty: _______Â
__ Ice Cream Qty: _______
 __ Other Qty: _______ ________________________________________________Â
Snacks:
 __ Granola Bars Qty: _______
 __ Raisins Qty: _______Â
__ Apple Sauce Qty: _______Â
__ Pop Corn Qty: _______Â
__ Other Qty: _______ ________________________________________________Â
Spices/Condiments/Baking:
 __ Other Qty: _______
 ________________________________________________ ________________________________________________Â
Drinks/Beverages: Â
__ Bottled Water (24 pk) Qty: ________
 __ Other Qty: _______Â
________________________________________________ ________________________________________________Â
Canned/Dry Items:
 __ Other Qty: _______Â
________________________________________________ ________________________________________________Â
Supplies:Â __ Other Qty: _______
 ________________________________________________ ________________________________________________Â
Toiletries __ Other Qty: _______Â
________________________________________________ ________________________________________________Â
MiscellaneousÂ
________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______Â
________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______ ________________________________________________ ________________________________________________ __ Other Qty: _______Â
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 Hellmanâs mayonnaise, let us know if you will not accept another brand. Â
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.comÂ