“Final Checkout”
Grocery Order Form
Opening Hours: Mon-Sat 0800-1800 Sun 1100-1800
Tel: 01957 711666 Fax: 01957 711847 Email:
Contact: Pat Burns/Lorraine Thomson
Please complete this order form and return by fax or e-mail. Use the box on the last page to make special requests for a particular brand or an item not shown.
Name: ______
Holiday Address: ______
Your E-Mail:______
Tel Number:______
Date of Arrival:______
Approx. Arrival Time:______
Fresh Meat Quantity /Number Fresh Vegetables/Fruit Quantity/Number
Back Bacon Rashers (Smoked) / BroccoliBack Bacon Rashers (Unsmoked) / Carrots
Sirloin Steak / Celery
Rib Eye Steak / Cucumber
Braising Steak / Lettuce – Iceberg/Kos/Other
Stewing Steak / Mushrooms
Fillet Steak / Onions
Rump Steak / Pepper - Red/Green/Yellow
Chicken Breast / Potatoes
Whole Fresh Chicken / Baking Potatoes
Beef Sausage / Tomatoes
Pork Sausage / Apples (Please state apple variety)
Pork Loin Chop / Bananas
Pork Loin Joint / Grapes – Black/Green
Leg of Pork / Kiwi Fruit
Leg of Lamb / Lemon
Loin Lamb Chops / Melon – (Please state variety)
Topside Silverside Joint / Oranges
Boneless Beef Rib joint / Plums
Bakery Quantity Dairy Quantity
White Sliced Loaf (400g 0r 800g) / Butter 250g/500gWholemeal Sliced Loaf (400g or 800g) / Margarine 250g/500g
White Rolls / Milk
Brown Rolls / Eggs 6/12
Croissants / Cheese Red/white/Mild/Strong
Breakfast Cereal – We have a wide selection of breakfast cereals. Please put your request below.
Tinned Goods/Jars/Condiments
Baked BeansSoupChicken/Tomato/Lentil
Bolognese Sauce
Tuna in Brine
Tuna in Oil
Cooking oil
Olive oil
Tomato Sauce
Mayonnaise
English Mustard
Marmalade
Honey
Jam
Peanut Butter
Syrup
We stock a wide range of the items below. Please put your request in the box below.
Please contact us to discuss delivery/collection and payment.
Contact: Pat Burns/Lorraine Thomson
Opening Hours: Mon-Sat 0800-1800 Sun 1100-1800
Tel: 01957 711666 Fax: 01957 711847 Email: