Summit Home Services Grocery Order Summit Home Services Grocery Order Personal User Information arrowup6 Name * First Last * Last Email * Address * Address Line 2 City * State ALAKARAZCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYNot in USA Select "not in USA" from the drop down if you are not from the USA Postal Code Country * AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCôte d'IvoireCroatia (Hrvatska)CubaCyprusCzech RepublicCongo (DRC)DenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Islas Malvinas)Faroe IslandsFiji IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong Kong SARHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SARMacedonia, Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe Mobile Number * Arrival Date * Arrival Time * 121234567891011 : 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 AMPM Name/s of Local Accommodations * Rental Agent Name * Rental Agent Telephone Number * General Information arrowup6 How did you find us? * If brands are not available do you prefer a substitution? * Yes No Do you want all organic? * Yes No CHARCUTERIE BOARDS arrowup6 Charcuterie board options (24 hours notice): SMALL (1-2 ppl). Incl: cheese, cured meat Crackers, Olives, Fresh fruit. $55 MEDIUM (4-8 ppl). Incl: cheese, cured meat Variety of crackers/crostini, Olives, Dip or Jam, Fresh, fruit, Nuts. $132 LARGE (8-12 ppl). Incl: cheese, cured meat Variety of crackers/crostini, Olives, Dip or Jam, Fresh fruit, Nuts. $264 Please let us know of dietary restrictions and allergies? BREAKFAST FOODS arrowup6 Bacon (QTY) Bacon Brand/Note Sausage (QTY) Sausage Brand/Note Cereal (QTY) Cereal Brand/Note Oatmeal (QTY) Oatmeal Brand/Note Pancake Mix (QTY) Pancake Mix Brand/Note Frozen Pancakes (QTY) Frozen Pancakes Brand/Note Frozen Waffles (QTY) Frozen Waffles Brand/Note Hash Browns (QTY) Hash Browns Brand/Note Syrup (QTY) Syrup Brand/Note Coffee (QTY) Coffee Brand/Note Coffee Filters (QTY) Coffee Filters Brand/Note Hot Cocoa (QTY) Hot Cocoa Brand/Note Tea (QTY) Tea Brand Brand/Note DAIRY arrowup6 Butter (QTY) Butter Brand/Note Margarine (QTY) Margarine Brand/Note Eggs (QTY) Eggs Brand/Note Egg Beaters (QTY) Egg Beaters Brand/Note Skim Milk (QTY) Skim Milk Brand/Note 1% Milk (QTY) 1% Milk Brand/Note 2% Milk (QTY) 2% Milk Brand/Note Whole Milk (QTY) Whole Milk Brand/Note Speciality Milk (QTY) Speciality Milk Brand/Note Organic Milk (QTY) Organic Milk Brand/Note Half & Half (QTY) Half & Half Brand/Note Whipping Cream (QTY) Whipping Cream Brand/Note Yogurt (QTY) Yogurt Brand/Note Flavored Creamer (QTY) Flavored Creamer Brand/Note DAIRY – CHEESE arrowup6 American (QTY) American Brand/Note Cheddar (QTY) Cheddar Brand/Note Mozzarella (QTY) Mozzarella Brand/Note Monterey Jack (QTY) Monterey Jack Brand/Note Sharp (QTY) Sharp Brand/Note Swiss (QTY) Swiss Brand/Note Muenster (QTY) Muenster Brand/Note Provolone (QTY) Provolone Brand/Note Shredded Cheddar (QTY) Shredded Cheddar Brand/Note Shredded Mozz (QTY) Shredded Mozz Brand/Note Kraft Singles (QTY) Kraft Singles Brand/Note Cottage Cheese (QTY) Cottage Cheese Brand/Note Cream Cheese (QTY) Cream Cheese Brand/Note Sour Cream (QTY) Sour Cream Brand/Note Parmesan Cheese (QTY) Parmesan Cheese Brand/Note String Cheese (QTY) String Cheese Brand/Note Specialty Cheese (QTY) Specialty Cheese Brand/Note REFRIGERATED arrowup6 Cinnamon Rolls (QTY) Cinnamon Rolls Brand/Note Biscuits (QTY) Biscuits Brand/Note Crescent Rolls (QTY) Crescent Rolls Brand/Note Pizza Dough (QTY) Pizza Dough Brand/Note Cookie Dough (QTY) Cookie Dough Brand/Note Other Refrigerated Baking Supplies (QTY) Other Refrigerated Supplies Brand/Note BREAD arrowup6 White Bread (QTY) White Bread Brand/Note Wheat Bread (QTY) Wheat Bread Brand/Note Rye Bread (QTY) Rye Bread Brand/Note Italian Bread (QTY) Italian Bread Brand/Note Other Bread (QTY) Other Bread Brand/Note Bagels (QTY) Bagels Brand/Note English Muffins (QTY) English Muffins Brand/Note Tortillas - Corn (QTY) Tortillas - Corn Brand/Note Tortillas - Flour (QTY) Tortillas - Flour Brand/Note Taco Shells (QTY) Taco Shells Brand/Note Buns (QTY) Please specify type Buns Brand/Note Donuts (QTY) Donuts Brand/Note Muffins (QTY) Muffins Brand/Note Other from Bread Section (QTY) Other from Bread Section Brand/Note BREAD SPREADS arrowup6 Honey (QTY) Honey Brand/Note Jam (QTY) Jam Brand/Note Jelly (QTY) Jelly Brand/Note Peanut Butter (QTY) Peanut Butter Brand/Note Nutella (QTY) Nutella Brand/Note DELI arrowup6 Ham (QTY) Ham Brand/Note Turkey (QTY) Turkey Brand/Note Salami (QTY) Salami Brand/Note Roast Beef (QTY) Roast Beef Brand/Note Speciality Platters (QTY) Speciality Platters Brand/Note Other Deli Items (QTY) Other Deli Items Brand/Note MEATS arrowup6 Steaks Beef (QTY) Steaks Beef Brand/Note Ground Beef (QTY) Ground Beef Brand/Note Pork (QTY) Pork Brand/Note Chicken (QTY) Chicken Brand/Note Chicken-Rotisserie (QTY) Chicken-Rotisserie Brand/Note Chicken Tenders (QTY) Chicken Tenders Brand/Note Turkey (QTY) Turkey Brand/Note Ground Turkey (QTY) Ground Turkey Brand/Note Sausage Links (QTY) Sausage Links Brand/Note Hot Dogs (QTY) Hot Dogs Brand/Note Other Meats (QTY) Other Meats Brand/Note SEAFOOD arrowup6 Fish (QTY) Fish Brand/Note Shrimp (QTY) Shrimp Brand/Note Canned Tuna (QTY) Canned Tuna Brand/Note Other Seafood (QTY) Other Seafood Brand/Note PASTA & RICE arrowup6 Mac & Cheese (QTY) Mac & Cheese Brand/Note Spaghetti (QTY) Spaghetti Brand/Note Rigatoni (QTY) Rigatoni Brand/Note Penne (QTY) Penne Brand/Note Macaroni Elbows (QTY) Macaroni Elbows Brand/Note Linguine (QTY) Linguine Brand/Note Angel Hair (QTY) Angel Hair Brand/Note Spaghetti Sauce (QTY) Spaghetti Sauce Brand/Note Quineoa (QTY) Quineoa Brand/Note Rice (QTY) Rice Brand/Note FROZEN FOODS arrowup6 Pizza/s (QTY) Pizza/s Brand/Note Waffles (QTY) Waffles Brand/Note Pancakes (QTY) Pancakes Brand/Note Vegetables (QTY) Vegetables Brand/Note Fish (QTY) Fish Brand/Note Chicken Nuggets (QTY) Chicken Nuggets Brand/Note Chicken Tenders (QTY) Chicken Tenders Brand/Note French Fries (QTY) French Fries Brand/Note Tator Tots (QTY) Tator Tots Brand/Note Juice/s (QTY) Juice/s Brand/Note Entrees (QTY) Entrees Brand/Note Fruit/s (QTY) Fruit/s Brand/Note Popsicles (QTY) Popsicles Brand/Note Ice Cream/s (QTY) Ice Cream/s Brand/Note Pies/Dessert (QTY) Pies/Dessert Brand/Note Garlic Bread (QTY) Garlic Bread Brand/Note Other Frozen Foods (QTY) Other Frozen Foods Brand/Note CANNED GOODS arrowup6 Canned Soup/s (QTY) Canned Soup/s Brand/Note Canned Veggies (QTY) Canned Veggies Brand/Note Canned Beans (QTY) Canned Beans Brand/Note Canned Fruit (QTY) Canned Fruit Brand/Note Chili (QTY) Chili Brand/Note Tomato Sauce (QTY) Tomato Sauce Brand/Note Other Canned (QTY) Other Canned Brand/Note BAKING SUPPLIES arrowup6 Marshmallows (QTY) Marshmallows Brand/Note Cake Mix (QTY) Cake Mix Brand/Note Flour (QTY) Flour Brand Brand/Note Brownie Mix (QTY) Brownie Mix Brand/Note Sugar (QTY) Sugar Brand/Note Other Baking Supplies (QTY) Other Baking Supplies Brand/Note COOKING arrowup6 Salt (QTY) Salt Brand/Note Pepper (QTY) Pepper Brand/Note Sugar (QTY) Sugar Brand/Note Spices (QTY) Spices Brand/Note Garlic Salt (QTY) Garlic Salt Brand/Note Olive Oil (QTY) Olive Oil Brand/Note Canola Oil (QTY) Canola Oil Brand/Note Gravy Mix (QTY) Gravy Mix Brand/Note Taco Mix (QTY) Taco Mix Brand/Note Chili Mix (QTY) Chili Mix Brand/Note Other cooking supplies (QTY) Other cooking supplies Brand/Note CONDIMENTS arrowup6 Ketchup (QTY) Ketchup Brand/Note Mustard (QTY) Mustard Brand/Note Mayo (QTY) Mayo Brand/Note Salad Dressing (QTY) Salad Dressing Brand/Note Steak Sauce (QTY) Steak Sauce Brand/Note BBQ Sauce (QTY) BBQ Sauce Brand/Note Vinegar (QTY) Vinegar Brand/Note Pickles (QTY) Pickles Brand/Note Croutons (QTY) Croutons Brand/Note Olives (QTY) Olives Brand/Note Olive Oil (QTY) Olive Oil Brand/Note Other Condiments (QTY) Other Condiments Brand/Note DESSERT/ BAKERY arrowup6 Cake/s (QTY) Cake/s Brand/Note Pie/s (QTY) Pie/s Brand/Note Cookies (QTY) Cookies Brand/Note Other Desserts (QTY) Other Desserts Brand/Note SNACKS & CANDY arrowup6 Drink Mixes (QTY) Drink Mixes Brand/Note Pretzels (QTY) Pretzels Brand/Note Crackers (QTY) Crackers Brand/Note Graham Crackers (QTY) Graham Crackers Brand/Note Cookies (QTY) Cookies Brand/Note Peanuts (QTY) Peanuts Brand/Note Other Nuts (QTY) Other Nuts Brand/Note Microwave Popcorn (QTY) Microwave Popcorn Brand/Note Granola Bars (QTY) Granola Bars Brand/Note Potato Chips (QTY) Potato Chips Brand/Note Tortilla Chips (QTY) Tortilla Chips Brand/Note Other Chips (QTY) Other Chips Brand/Note Guacamole (QTY) Guacamole Brand/Note Chip Dip/s (QTY) Chip Dip/s Brand/Note Salsa (QTY) Salsa Brand/Note Hummus (QTY) Hummus Brand/Note Candy (QTY) Candy Brand/Note DRINKS & JUICE arrowup6 Cranberry Juice (QTY) Cranberry Juice Brand/Note Apple Juice (QTY) Apple Juice Brand/Note Grape Juice (QTY) Grape Juice Brand/Note Orange Juice (QTY) Orange Juice Brand/Note Lemonade (QTY) Lemonade Brand/Note Ice Tea (QTY) Ice Tea Brand/Note Soda/s (QTY) Soda/s Brand/Note Bottled Water (QTY) Bottled Water Brand/Note Seltzer (QTY) Seltzer Brand/Note Tonic (QTY) Tonic Brand/Note Club Soda (QTY) Club Soda Brand/Note Gatorade (QTY) Gatorade Brand/Note Other Drink/s (QTY) Other Drink/s Brand/Note FRUIT arrowup6 Apples (QTY) Apples Brand/Note Bananas (QTY) Bananas Brand/Note Red Grapes (QTY) Red Grapes Brand/Note Green Grapes (QTY) Green Grapes Brand/Note Lemons (QTY) Lemons Brand/Note Limes (QTY) Limes Brand/Note Strawberries (QTY) Strawberries Brand/Note Oranges (QTY) Oranges Brand/Note Melon (QTY) Melon Brand/Note Grapefruit (QTY) Grapefruit Brand/Note Pineapple (QTY) Pineapple Brand/Note Other Fruits (QTY) Other Fruits Brand/Note VEGETABLES arrowup6 Iceberg Lettuce (QTY) Iceberg Lettuce Brand/Note Romaine Lettuce (QTY) Romaine Lettuce Brand/Note Green Leaf Lettuce (QTY) Green Leaf Lettuce Brand/Note Other Lettuce (QTY) Other Lettuce Brand/Note Salad Bag (QTY) Salad Bag Brand/Note Mushrooms (QTY) Mushrooms Brand/Note Avocado (QTY) Avocado Brand/Note Green Beans (QTY) Green Beans Brand/Note Bell Peppers (QTY) Bell Peppers Brand/Note Spinach (QTY) Spinach Brand/Note Broccoli (QTY) Broccoli Brand/Note Cabbage (QTY) Cabbage Brand/Note Tomatoes (QTY) Tomatoes Brand/Note Baby Carrots (QTY) Baby Carrots Brand/Note Carrots (QTY) Carrots Brand Preferences / Notes Celery (QTY) Celery Brand/Note Cucumber (QTY) Cucumber Brand/Note Garlic Bulbs (QTY) Garlic Bulbs Brand/Note Onions (QTY) Onions Brand/Note Potatoes (QTY) Potatoes Brand/Note Asparagus (QTY) Asparagus Brand/Note Veggie Platter (QTY) Veggie Platter Brand/Note Other Vegetables (QTY) Other Vegetables Brand/Note PERSONAL SUPPLIES arrowup6 Shampoo (QTY) Shampoo Brand/Note Deodorants (QTY) Deodorants Brand/Note Razor Blades (QTY) Razor Blades Brand/Note Suntan Lotion (QTY) Suntan Lotion Brand/Note Bar Soap (QTY) Bar Soap Brand/Note Toothpaste (QTY) Toothpaste Brand/Note Vitamins (QTY) Vitamins Brand/Note Aspirin (QTY) Aspirin Brand/Note Other Personal Supplies (QTY) Other Personal Supplies Brand/Note BABY SUPPLIES arrowup6 Baby Food (QTY) Baby Food Brand/Note Formula (QTY) Formula Brand/Note Snacks (QTY) Snacks Brand/Note Diapers (QTY) Diapers Brand/Note Baby Wipes (QTY) Baby Wipes Brand/Note Bottles (QTY) Bottles Brand/Note Sippy Cups (QTY) Sippy Cups Brand/Note Other Baby Supplies (QTY) Other Baby Supplies Brand/Note MISCELLANEOUS arrowup6 Batteries (QTY) Batteries Brand/Note Detergent (QTY) Detergent Brand/Note Dryer Sheets (QTY) Dryer Sheets Brand/Note Dish Soap (QTY) Dish Soap Brand/Note Paper Plates (QTY) Paper Plates Brand/Note Paper Napkins (QTY) Paper Napkins Brand/Note Paper Cups (QTY) Paper Cups Brand/Note Paper Towels (QTY) Paper Towels Brand/Note Toilet Tissue (QTY) Toilet Tissue Brand/Note Garbage Bags (QTY) Garbage Bags Brand/Note Plastic Wrap (QTY) Plastic Wrap Brand/Note Aluminum Foil (QTY) Aluminum Foil Brand/Note Kleenex (QTY) Kleenex Brand/Note Playing Cards (QTY) Playing Cards Brand/Note Other General Items (QTY) Other General Items Brand/Note BEER, WINE & LIQUOR arrowup6 You must be at least 21 to order alcohol. * I affirm that I am at least 21 years of age. You will be required by law to provide proof of identification upon placing your order. I am not ordering any items from this section PROOF OF IDENTIFICATION (Driver's License, Identity Document/Card or Passport) * I will Whatsapp proof to +1 (303) 596-9005 (We prefer this method) I will email proof to groceryorders@summit-home-services.com Beer (QTY) Beer Brand/Note 2 Beer (QTY) 2 Beer Brand/Note Wine (QTY) Wine Brand/Note 2 Wine (QTY) 2 Wine Brand/Note Liquor (QTY) Liquor Brand/Note 2 Liquor (QTY) 2 Liquor Brand/Note Mix (QTY) Mix Brand/Note 2 Mix (QTY) 2 Mix Brand/Note Other alcoholic beverages (QTY) Other alcoholic beverages - Brand/Note Special Request / Notes Type your special list or additional notes here: PRIVATE CHEFS Would you require a Private Chef? If you select YES then kindly provide us with more details and dates in the "Special Request/Notes" section above as well. * Yes No Maybe TERMS & CONDITIONS: arrowup6 T&Cs In order to guarantee delivery, please return this form no later than 24 hours prior to your arrival. Groceries will be delivered and stocked in your unit the day of arrival. Orders received with less than 24 hours' notice will be subject to a 10% surcharge. Please make sure your accommodation information is accurate. If for any reason we are unable to deliver your groceries due to incomplete or inaccurate accommodation information, there will be no refund for purchased groceries and our time. FEES SUMMER (May – October): A $35 delivery charge; A 20% charge will be added to your bill for shopping, loading, unloading and stocking time. FEES WINTER (November – April): A $35 delivery charge; A 30% charge will be added to your bill for shopping, loading, unloading and stocking time. A 3% processing fee will be applicable on all Credit Card transactions. I agree with the Terms & Conditions and our site's Privacy Policy * Yes If you are human, leave this field blank.
