Page 1 Shopping List Order Form


* = required
Customer Name: *
Houseboat Name: *
Delivery or Pickup: *
Delivery Date: * Delivery Time: *
Place of Delivery: *
Cell Phone: Home Phone: Work Phone:
Mailing Address:
Email Address: *

*Captains and Crews Boat Service guarantees our services. We cannot be held responsible for any possible food contamination or spoilage due to unforeseen schedule changes and or defective production.

Soda / Water / Alcohol


Product - Size - Quantity    (Enter Format:  Coke - Cans - 2 Cases)
Soda:
*1 full item per line		 Follow this Format for All Input Boxes:
Coke - Cans - 2 Cases
Sprite - 2 Liter - 4 Bottles
Pepsi - Cans - 1 Case
Water:
*1 full item per line
Beer:
*1 full item per line
Wine:
*1 full item per line
Liquor:
*1 full item per line

 

 

Baking Items (spices, sugars, flours, mixes)


Product - Size - Quantity
Items:
*1 full item per line

 

 

Soups, Condiments, Side Dishes, Mexican Food, Pasta & Sauces


Product - Size - Quantity
Items:
*1 full item per line

 

 

Coffee, Tea, Hot Cocoa


Product - Size - Quantity
Items:
*1 full item per line

 

 



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