Lakeside Xpress - On-Line Order Form

On-Line Order Form:

Please have your order in by 7-pm Wednesday. Thursday and Friday are delivery days.

NOTE:You MUST leave an email address if you want confirmation your order was received. We are not responsible for forms lost by whacky computers...
Name: Phone or eMail:
Address: City:

Deliver my order to (directions):

(Delivery available between Ajijic and Chapala only)

MINIMUM ORDER 5 ITEMS

Source Quantity Item Description Size Substitute/Comment

Five Item minimum order please ...

Source: If you have a preference, please indicate where the purchase should be made: Costco or Sam's Club.
Quantity: Please indicate 1-pkg or 1-case (a case of the same item is only charged as one item for service fee.)
Item Description: Please be specific. S&W Cut Green Beans . Kirkland Laundry Soap - etc.
Size: oz / ml / kilos / etc.
Substitute/Comments: If the store is out of a specific brand, please indicate if you would like a second or third choice, or any other comments or clarification needed.
REMEMBER: Your cost will be from the actual cash register receipt available for your inspection, plus our fee. We do not mark up prices!

LakesideXpress