Polbain Stores Grocery Order Form

Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Home Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Tel no. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Holiday Residence:

Name of house / chalet . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Date of arrival . . . . . . . . . . . . . .

Agent or Proprietor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Date of Departure . . . . . . . . . . .

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PLEASE FEEL FREE TO INCLUDE ANYTHING THAT IS NOT ALREADY LISTED HERE -GIVEN SUFFICIENT NOTICE WE CAN USUALLY MEET MOST REQUIREMENTS.

Bread / rolls / croissants etc

Butter / marg / lard / cooking oil

Milk / cream / yoghurt / eggs etc

Jam / marmalade / honey / biscuits

Cheese (scottish cheddar, brie, stilton,

camembert, cottage cheese etc)

Tea / coffee / cocoa etc

Sugar / sweeteners

Cereals / rice / pasta / flours

Frozen foods (meat, fish,veg, ice cream)

Fresh meat / chicken / bacon / sausages

Seafood (prawn, lobster, crab, salmon)

Cooked meats(chicken, ham, garlic sausage etc)

Fresh fruit / vegetables

Tinned food

Soft drinks / fruit juices / wines / spirits / beers etc

Other needs e.g. vegetarian / diabetic / baby food

/ flowers / cakes etc

Herbs / spices / sauces / dressings etc

Pet foods / coal / paraffin / firelighters etc

SUBSTITUTIONS. In the unlikely event that we are unable to supply something that you have requested are you prepared to accept a substitute ? YES / NO

Thank you for your support, upon which many local businesses depend for their survival.

We look forward to seeing you during your stay.