Food and Drink Delivery

General Info

Include an optional gratuity for assistance of bellman, concierge, driver, etc.?(Required)

Name on Reservation(Required)

Phone(Required)

Email(Required)

Resort Name/Address(Required)

Referred By(Required)

Concierge Team(Required)

Arrival Date(Required)

Arrival Time(Required)

Family Size (Used to help select item quantity or size)(Required)

Small

Medium

Large

Prefer specific items when available?(Required)

Organic - Produce

Organic - Produce & Dairy

Organic - Full Order

Gluten Free

Kosher

Local

No preference

Other

Other specific items when available(Required)

Items

Item

Quantity

Specific Requests

Specify item quantities below & add specific item requests, if needed, to the right of the item name in the space provided. Our fee for shopping, round-trip drive, and delivery in your kitchen is 30% of the store's receipt subtotal(s) -OR- for orders under $150 there is a flat-rate $45 fee. Hawaii State Excise tax (4.166%) and a Credit Card Processing fee (3%) will also be added. To ensure items are delivered upon arrival, return this order form at least 48-hours prior to check-in. Due to grocery store price fluctuations and seasonal availability, we do not have prices listed on our website. The final bill will be generated from the receipt of the grocery store(s) we shop at for your order and an itemized receipt is auto-emailed 72 hours after delivery.

Items

Please select your items below by category. Once you have selected your item, please be sure to click the ADD ITEM button to add it to your order. You must click this button for each item to be added to your list, for any questions please feel free to email us at [email protected].

Other Items

List any other items that are not in the list above. If an item is alcohol, make sure to check the box which states "Other Items Contain Alcohol".

Other Items Contains Alcohol

Yes, an item in my list of "Other Items" is an alcohol item

Hidden

Order Contains Alcohol

Yes

Wine, Beer, & Spirits Agreement

** In order to purchase any products that contain alcohol you must complete ALL of the following information. Any incomplete forms will not receive the Wine, Beer, & Spirits associated with their order. Please be sure to check the box to certify that you are over the age of 21 before moving onto the payment section.**

Your Name(Required)

First Last

Date of Birth(Required)

Month

Day

Year

Driver's License Number & Issuing State(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Confirm Age(Required)

I certify that I am over 21 years of age

Payment Info

Authorization Amount

This is just an authorization. Upon purchase, your card will be charge the full amount.

Credit Card(Required)

Post Custom Field

Option

Comments

This field is for validation purposes and should be left unchanged.

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General Info

Items

Wine, Beer, & Spirits Agreement

Payment Info