Lake Country Co-op Prince Albert Food Store Order Form

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****PLEASE NOTE****.* This field is required.Online orders placed Monday through Thursday are eligible for next day delivery/curbside pick up. Online orders placed Friday are eligible for Monday delivery/curbside pick up. Delivery and Curbside service is not available on weekends or stat holidays. Orders placed the day prior to a weekend or stat holiday will be available for delivery or curbside pick up on the next business day. Every customer will be contacted with a curbside or delivery window time. DO NOT show up for curbside unless we have contacted you.

Yes, I have read and understand the above notice.

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A Lake Country Co-op membership is required to continue. Sign up for your Lake Country Co-op membership HERE or click "NEXT or -->" if you are already a member. PLEASE NOTE: Orders that contain a non-valid member number will be deleted and WILL NOT be processed.

If order is placed before 12 am (midnight), we will make every effort to deliver your order the next day. However, due to the current circumstances, we cannot guarantee next day delivery.

IMPORTANT FLYER NOTICE: If you are ordering on Wednesday, please shop the flyer that starts on THURSDAY. Your order will be picked on Thursday and prices will be in accordance with the current flyer. Browse the current flyer HERE.

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Lake Country Co-op Number* This field is required.

Lake Country Co-op membership required to continue.

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Phone Number* This field is required.

Area Code

Phone Number

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Full Name* This field is required.

First Name

Last Name

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E-mail* This field is required.

example@example.com

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Curbside or Delivery? (You will be contacted for your curbside or delivery window.)* This field is required.

Curbside

Delivery

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Address* This field is required.

Street Address (include apartment number, if applicable)

City

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Do you live at a Seniors or Assisted Living Complex?* This field is required.If yes, we will contact you for special delivery instructions.

YESNO

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Due to limited supply, substitutions may be required. Will you accept substitutions processed at current shelf price?* This field is required.IMPORTANT FLYER NOTICE: If you are ordering on Wednesday, please shop the flyer that starts on THURSDAY. Your order will be picked on Thursday and prices will be in accordance with the current flyer.

YESNO

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Method of Payment?* This field is required.

Credit (Visa/Mastercard/AMEX)

Interac Debit

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Produce - Fruit and Vegetables (quantity, type, description)

ex: 3 hothouse tomatoes

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Deli (quantity, type, description)

ex: 1 small package of Grimm's salami

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Bakery (quantity, type, description)

ex: 2 whole wheat store-made sliced bread

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Meat and Seafood (quantity, type, description)

ex: 1 Warehouse Pack boneless, skinless chicken breast

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Dairy, Eggs, and Cheese (quantity, type, description)

ex: 1 - 18 pack Centsibles eggs

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Health and Beauty (no prescriptions)(quantity, type, description)

ex: 1 tube Colgate toothpaste

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Cleaning Supplies or Paper Products (quantity, type, description)

ex: 1 bottle Dawn dishsoap

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Cereal and Baking(quantity, type, description)

ex: 2 bags of Co-op Gold mini marshmallows

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Grains, Pasta, and Sides (quantity, type, description)

ex: 1 bag of brown basmati rice

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Canned Goods (quantity, type, description)

ex: 3 cans of Campbell's cream of mushroom soup

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Condiments and Spices (quantity, type, description)

ex: 1 large bottle of Heinz ketchup

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Chips, Pop and Snacks(quantity, type, description)

ex: 2 bags of Co-op Gold dill pickle potato chips

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Frozen Foods (quantity, type, description)

ex: 1 large bag of Green Giant frozen peas

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Notes or Extras(special requests, anything extra, etc.)

ex: 1 -4L jug of distilled water

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Terms and Conditions* This field is required.

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Newsletter

Yes, I would like to receive Lake Country Co-op Deals and Promotions emails.

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Please verify that you are human* This field is required.

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Once submitted, your order will be sent to our PRINCE ALBERT Food Store. You will be contacted with the total and for your curbside or delivery window.

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