GROCERIES ORDER FORM | Arthurs Urban Market

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DATE OF PICKUP/DELIVERY:

DATE ORDERED:

PHONE NUMBER:

PHONE NUMBER

ORDER TAKEN BY:

DELIVER TO:

CUSTOMER NAME

DELIVERY ADDRESS:

PRODUCE:

DAIRY:

BAKERY/KITCHEN:

FROZEN/MEAT/SEAFOOD:

GROCERY:

Thanks for your order! Staff will contact you soon to confirm.

Monday - Sunday: 8AM - 8PM

1591 Hollis Street (MAPLE Building), Halifax, NS, B3J 0G9

Tel. (902) 422-5538

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