Grocery Reminder Setup Form
Easily set up and customize your recurring grocery reminders for a seamless shopping experience.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number (for SMS reminders)
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Reminder Method
*
Email
SMS
Both
Grocery List (separate items with commas)
*
Reminder Frequency
*
Please Select
Weekly
Every 2 Weeks
Monthly
Custom
Preferred Reminder Day(s)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Reminder Time
*
Hour Minutes
AM
PM
AM/PM Option
Start Date for Reminders
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
End Date for Reminders (optional)
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Special Instructions or Notes
Set Up Reminder
Should be Empty: