Submit your shopping list

Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Where will we drop off everything?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Agree to Terms *

By clicking “Submit”, you agree to MultiFunctions LLC Privacy Policy section 9, policies 9.1-9.4. You consent to receive phone calls and SMS messages from MultiFunctions LLC to provide updates on your services and/or for marketing purposes. Message frequency may vary. Message and data rates may apply. You may opt-out by texting “STOP” at any time or “HELP” for more information.

I agree

Agree to rates *

I agree to the $14.99 service charge for using the service and the additional 2.94% service fee for using credit/ debit cards (not applicable for cash or checks). I understand that the more stores I request may cost more if the trip exceeds 6 miles total (round trip), which will add $0.85 per each additional mile.

I agree

Agree to use of information *

I understand that my address and personal information are required for MultiFunclions LLC to deliver my products and complete the service. I understand that the information I submit in this form will only be stored for the entirety of the service—excluding my phone number—and then promptly removed unless requested otherwise.

I agree