• Click HERE for instructions on printing the order form.

  • Click HERE to download the order form (Word DOC)
    (Use Winzip to extract)
Please Note:    
  • All Items are provided at store prices in Telluride
  • Advance orders must be received at least 48 hrs. prior to arrival
  • All items are subject to store availability
  • Orders may be cancelled with at least 48 hrs. notice
  • You may add an unlimited number of items at the end of this form
*Email:
*Your Full Name: 
 
Party Trays (Please see the Party Tray section of our website for our party tray menu and prices)
Size:   Number of trays:    Type:  
Size:   Number of trays:    Type:  
Size:   Number of trays:    Type:  
Size:   Number of trays:    Type:  
Produce, Fresh Fruits & Vegetables (You may add items at the end of this form)
Quantity Size Description
Dairy Products
Quantity Size   Description
Milk  
Cream  
Yogurt  
Cheese  
Eggs
Butter/Marg.
Other
Miscellaneous
Quantity Size   Description
Cereal
Pancake Mix
Syrup
Honey
Sugar
Peanut Butter
Jelly
Salad Dress.
Mayo
Catsup
Mustard
Spices
Canned Food
Cookies
Crackers
Chips
Beef Jerky
Bread
Buns
Other
Meats
Quantity Size   Description
NY Steak
Sirloin Steak
T-bone Steak
Roast
Pork
Ham
Bacon
Ground Beef
Sausage
Lunch Meat
Hot Dogs
Other
Poultry & Others
Quantity Size   Description
Chicken
Turkey
Pate
Other
Fish & Seafood
Quantity Size   Description
Salmon
Trout
Tuna
Shrimp
Crab
Lobster
Other
Pasta
Quantity Size   Description
Sauce
Frozen / Microwave Foods
Quantity Size    
Ice Cream
Froz.Yogurt
Pizza
Waffles
Other
Other
Beverages
Quantity Size   Description
Soda
Soda
Soda
Fresh Juices
Water
Coffee
Tea
Other
Spirits
Quantity Size Type Brand
Scotch
Bourbon
Vodka
Gin
Rum
Tequila
Brandy
Goldslager
Other
Wines
Quantity Size Type Brand
Red
White
Blush
Champagne
Beer
Quantity Size Type Brand
Domestic
Imported
 

Home Oxygen Concentrator ($80/day, $325 for 5 days, $350/week)
3 free nosepieces per unit, $3 each additional
Humidifier bottle is included with each rental (Philips Respironics Everflo Q Concentrator)

**Oxygen will be delivered on your preferred start date/time. You will not be charged on the return date.

# of units: # of nosepieces: Start date/time: Return Date:

 

Guest Information

*Condominium, Hotel, or Address:

Phone Number in Telluride (if known)
*Reservation Agency:  
*Guest Name:  
*Billing Address:  
*City:    
*State:    
*Zip Code:  
*Phone Number: (cell preferred)
Fax Number:  
Date and Time of Arrival:
*Preferred Date/Time of Delivery

*I authorize Telluride Delivers to receive payment for services rendered using the following option:
I would like to tip the delivery person Other $:
*Initials (Required for Web Submission):
Signature (For Fax Orders Only):
"By Signing/Initialing above I am authorizing charges to my credit card, and I am affirming that the recipient(s) of any alcoholic beverages are 21 years of age or older. I understand that Telluride Delivers will not be held responsible for any mishandling of alcohol by minors".

*Driver's License # (If Purchasing Alcohol): *D.O.B.:

Credit Card Information
*Name as it appears on card:
*Type of Card:
  
*Credit Card Number:
  
*Expiration Date:
  Month:   Year:  
*CVV Number (Security Code)
  
     
Special Instructions, Additional Items, etc:
 

We recommend you print this page for your records before submitting!

A copy of your order will be delivered to the email address you provided.
If you do not receive a confirmation within 24 hours, please call 970-729-3223.
Please review your order carefully before submitting. All fields with a "*" are required.
If you are travelling to Telluride in less than 48 hours, please drop us a line and let us know @ 970-729-3223
You saved time and money by placing your order with us directly. Thank you - we appreciate your business!

 

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