Delivery / Curbside Pickup at Laperles IGA

Fax: 603 237 5574 Phone: 603-237-4370 Email: laperlesorders@gmail.com

This service is intended to help our neighbors in need.

CLICK HERE to print an order form that you can fax or email to us using the contact info above OR fill out the form below and submit

Note: Due to the Covid19 Pandamic, there are NO returns, exchanges, or refunds.

Curbside is Monday-Friday
Delivery is only Tuesday’s and Thursday’s and orders have to be in by 12:00pm to be delivered that day.

Fees: (Not applicable at this time due to Covid19 Pandemic. Laperle’s IGA reserves the right to instate a fee for this service.)

Customer Information
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Pickup Or Delivery?*
- Pickup
- Delivery
Make and model of vehicle that will be picking up groceries*
Preferred Pick up Time (2:00pm – 4:00pm)*
Shopping Order List
Use the plus (+) button on the right to add more items to your order.
- **We will automatically substitute like items unless you check this box for NO SUBSTITUTIONS
Health/Beauty
Item Name Brand Size Quantity Special Notes

Use the plus (+) button on the right to add more items to your order.
Frozen
Item Name Brand Size Quantity Special Notes

Use the plus (+) button on the right to add more items to your order.
Dairy
Item Name Brand Size Quantity Special Notes

Use the plus (+) button on the right to add more items to your order.
Meat
Item Name Brand Size Quantity Special Notes

Use the plus (+) button on the right to add more items to your order.
Packaged Meat
Item Name Brand Size Quantity Special Notes

Use the plus (+) button on the right to add more items to your order.
Deli
Item Name Brand Size Quantity Special Notes

Use the plus (+) button on the right to add more items to your order.
Produce
Item Name Brand Size Quantity Special Notes

Use the plus (+) button on the right to add more items to your order.
Bakery/Bread
Item Name Brand Size Quantity Special Notes

Use the plus (+) button on the right to add more items to your order.
Grocery
Item Name Brand Size Quantity Special Notes

Use the plus (+) button on the right to add more items to your order.
Dry Goods
Item Name Brand Size Quantity Special Notes

Use the plus (+) button on the right to add more items to your order.
Paper Products
Item Name Brand Size Quantity Special Notes

Use the plus (+) button on the right to add more items to your order.
Water/Soda
Item Name Brand Size Quantity Special Notes

Use the plus (+) button on the right to add more items to your order.
Additional Comments?
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Item Name	Brand	Size	Quantity	Special Notes

Item Name	Brand	Size	Quantity	Special Notes

Item Name	Brand	Size	Quantity	Special Notes

Item Name	Brand	Size	Quantity	Special Notes

Delivery / Curbside Pickup at Laperles IGA

Customer Information

Shopping Order List

Use the plus (+) button on the right to add more items to your order.

**We will automatically substitute like items unless you check this box for NO SUBSTITUTIONS

We will automatically substitute like items unless you check this box for NO SUBSTITUTIONS**