Applegate Grocery Delivery Question Title * 1. Are you an Applegate Country Club Member currently? Yes No Question Title * 2. Are you within our Delivery Area? (Hwy 238 from Ruch to Provolt, all of Humbug Creek Road, N. Applegate to Troon Vineyard, and Thompson Creek Road up to Nine Mile Drive.) Yes No Question Title * 3. Are you in any of these categories? Senior Over 65 Years Young Parent With School Aged Children Unable To Drive To Town for Groceries Question Title * 4. How did you hear about our Grocery Delivery Program? A Friend A Member of the Applegate Country Club On Channel 12 News Newspaper Question Title * 5. Are you familiar with how our program works? Yes. No. Question Title * 6. Every Sunday, we send out the list of groceries and homemade baked goods and meals we have available for order. The orders are filled in the order in which they are received. Members get priority if we run out of an item. (They've supported up, we like to return the favor). Orders received after 9AM Tuesday may not be filled. We deliver starting Wednesday morning. You will receive a call as we prepare to deliver in your area. Our delivery fee is $10. You will save money on some items because we order wholesale and in bulk, and we pass the savings on to you. We do not provide the 10% Member Discount on Grocery Delivery because we are already discounting the items. Question Title * 7. Do you have any questions regarding our program? (we can call you). No. Question Title * 8. Here is an example of what a normal list looks like: Half Dozen Eggs $2 2% Mile, Half Gallon, not organic $4 1 Pound of Uncooked Bacon, $5 1 Pound of Butter, Salted, $2 1 Homemade Vegetarian Quiche $14 1 Homemade Bacon and Sausage Quiche $15 Ham Steak, cut 1/4" $2 Ham for sandwiches, sliced thin, 1 Pound, $5 Chili, Homemade, 30 oz., $12 Chicken Noodle Soup, 30 oz, $12 American Cheese for Sandwiches, a half pound, $3 Orange Juice, frozen, in can $3 Loaf of Wheat Bread $4 1 Pound of Flour, $5 Box of Kleenex, $4 One Roll of Toilet Paper - limit one per household order $.50 Take and Bake Cheese Pizza, ready for your oven, $15 Take and Bake Pepperoni Pizza, ready for your oven, $15 Take and Bake Mediterranean Pizza, ready for your oven, $15 Take and Bake Meat Lovers Pizza, ready for your oven, $15 Fresh Caesar Salad, $12 Fresh Greek Salad, $12 Chocolate Chip Cookies, 12, $4 For This Week's List, go to www.applegatecountryclub.com and click on the Menu Button. Scroll to the bottom of our menu and you'll see the Wednesday Delivery Menu. All orders have to be in by 9AM Tuesday! Question Title * 9. Can you tell us how often you think you'll need our service? Once a week Every other week No idea Question Title * 10. Could you please share your contact information so that we can send you the weekly shopping list? (By providing this information, you are giving us permission to contact you.) Full Name Address Email Address Phone Number Done