Fax your Grocery Order

GROCERY DELIVERY ORDER FORM      FAX:  604.932.2763

Let us do the shopping before you arrive or while you enjoy your day at Whistler. Please ensure your list is faxed to us the day prior to requested delivery. The cost, plus service fee will be applied directly to your credit card.
Shopping Charge ~ $5.00 +GST Delivery Charge ~ $8.00 +GST Liquor Pickup ~ $8.00 +GST
 
Name _____________________________________

Deliver To _________________________________

 _________________________________ /________
   Visa/ MC /Amex #                            Expiry

 
Phone Number (______)_____________________

Room Number _____________________________

Date of Delivery ___________________________

 
Our market has a complete line of groceries, including fresh produce, dairy & cheeses, frozen foods, fresh bread, beverages and health & beauty items. When we fill your order, preference will be given to premium brand names and you will be charged current shelf price. Please indicate approximate size, weight, number, etc., of each item. Please use the list below to check off the items required and fill in the quantities.

DAIRY QTY.
Homo Milk  1L ................................
2% Milk  1L ....................................
1% Milk  1L ....................................
Skim Milk 1L ...................................
Plain Yogurt 700g...........................
Fruit Yogurt 175g............................
Coffee Cream 500g.........................
Whipping Cream ..............................
Sour Cream 250g............................
Cottage Cheese 250g.....................
Salted Butter 250g..........................
Margarine 500g...............................
Eggs (1 dozen) ................................
Grated Parmesan 250g...................
Block Cheddar 227g........................
Shredded Cheddar 220g..................
Process Slices 250g.......................
Shredded Mozza 220g.....................
Feta 250g.........................................
Swiss 250g.......................................
Brie 125g.........................................
Camembert 125g............................
Cream Cheese (type?) ...................
Other ..............................................
CEREALS QTY.
Variety Pack ....................................
Kids Variety Pack.............................
Honey Nut Cheerios.........................
Cheerios ..........................................
Frosted Flakes ..................................
Fruit & Fibre ......................................
Alpen ...............................................
Granola ............................................
Pancake Mix .....................................
Nutrigrain Bars (8)............................
Granola Bars (box)............................
Flavoured Instant Oatmeal..............
Other ..............................................
BREADS QTY.
Sliced Wheat .....................................
Sliced White ......................................
French Loaf .......................................
Croissants (6)....................................
Bagels (6).........................................
English Muffins (6)............................
Rye Bread ........................................
Sourdough Rolls ...............................
Other ...............................................
PASTAS & RICE QTY.
Spaghetti ........................................
Penne ..............................................
Linguini ........................................
Fresh Fettucine.................................
Fresh Tortellini..................................
Kraft Macaroni & Cheese.................
White Rice .......................................
Rice Vermicelli Noodles..................
Other ..............................................
FRESH FRUITS QTY.
Oranges ............................................
Red Apples .......................................
Green Apples ....................................
Bananas.............................................
Pears .................................................
Grapefruit ..........................................
Green Grapes 250g..........................
Red Grapes 250g..............................
Lemons .............................................
Limes ................................................
Kiwis ..................................................
Other .................................................
FRESH VEGETABLES QTY.
Potatoes ...........................................
Onions ..............................................
Mini Carrots 250g............................
Tomatoes .........................................
Red Peppers .....................................
Mushrooms 250g..............................
Garlic ................................................
Avocado ............................................
Cucumber .........................................
Leaf Lettuce ......................................
Green Onions ....................................
Caesar Salad Mix ..............................
Mixed Bag Salad ...............................
Other ................................................
JAMS & SPREADS QTY.
Raspberry Jam ....................................
Strawberry Jam ...................................
Marmalade .........................................
Peanut Butter (smooth) ......................
Peanut Butter (crunchy) .....................
Liquid Honey .......................................
Creamy Honey ....................................
Pancake Syrup ....................................
Real Canadian Maple Syrup ...............
Other .................................................
CONDIMENTS & SAUCES QTY.
Mayonnaise ........................................
Miracle Whip ......................................
Ketchup ..............................................
Mustard ..............................................
Dijon Mustard .....................................
Relish ................................................
Tabasco .............................................
Worchestershire .................................
Steak Sauce .......................................
Salad Dressing (type?) ......................
Olive Oil .............................................
Cooking Oil ........................................
White Vinegar .....................................
Red Wine Vinegar ...............................
Dill Pickles .........................................
Olives ................................................
Tomato Pasta Sauce .........................
Alfredo Sauce Mix .............................
Hollandaise Sauce Mix ......................
Fresh Guacamole ............................
Taco Seasoning .................................
MEAT, POULTRY, FISH QTY.
Bacon 250g.......................................
Sliced Ham 175g...............................
Sliced Turkey 100g...........................
Sliced Roast Beef 175g....................
Beef Jerky .......................................
Salmon Jerky ..................................
Sliced Smoked Salmon 100g............
Pate 175g.........................................
Lasagna 1kg Frozen...........................
Boneless Chicken Breast Frozen .........
Lean Ground Beef 500g Frozen ...........
Other ..............................................
SNACKS QTY.
Potato Chips (type?) ........................
Tortilla Chips ....................................
Nacho Flavoured Chips .....................
Pretzels .............................................
Puff Cheesies ..................................
Chip Dip (type?) ................................
Salsa Dip ...........................................
Roasted Peanuts ...............................
Mixed Nuts ........................................
Almonds ............................................
Cashews ............................................
Crackers (type?) ..............................
Chocolate Bars (type?) ....................
Other ...............................................
BEVERAGES QTY.
Soft Drinks - please specify flavour etc
6 Pack ..............................................
1 L Bottle ..........................................
2 L Bottle ..........................................
Orange Juice 1L .................................
Apple Juice 1L ...................................
Cranberry Juice 1.89L........................
Bottled Water 1.5L .............................
Sparkling Water 750ml .......................
Tea ..................................................
Herbal Tea .......................................
Instant Coffee ..................................
Ground Coffee 300g...........................
Hot Chocolate Mix .............................
Other ...............................................
HEALTH & BEAUTY QTY.
Toothpaste .......................................
Toothbrush .......................................
Shampoo .........................................
Conditioner .......................................
Hair Gel .............................................
Hair Spray .........................................
Disposable Razors ............................
Shaving Cream ..................................
Headache Tablets .............................
Cold Remedies .................................
Nail Polish Remover .........................
Other ...............................................
LIQUOR
Wine .................................................
Beer .................................................
Spirits ..............................................
Other ...............................................

Other  Requests:

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Upper Village Market Inc.
4580 Chateau Blvd. Whistler, B.C., Canada V0N 1B4 Phone: 604.932.0230  Fax: 604.932.2763
www.uppervillagemarket.com