ALL DELIVERED ORDER FORM


Date

Today's Date

Time

Time of request TO US for delivery


Starting Location Information
Address

Where do we pick-up the delivery items?

City

Which city of service?

Name

Enter the name of the business or establishment where we're to pick up the delivery.


Delivery Content Information

P⁄U Time

CAUTION: if you already ordered take-out food and were quoted 15 minutes or less til your order is ready, STOP!!
You need to call 541-928-2221 to complete your delivery.

Delivery Location Information
Address

Where do we deliver your order?

City

What city?

Customer Information
Name

Please enter your name

Phone

Enter your contact number

Email

Enter your e-mail address

Payment Information

We'll happily pay for your items as we pick them up providing you prepay for the items now by entering your card information below.

(Leave blank if the items are already paid for)

Name

Please enter cardholder name

Zip Code

Please enter zip code associated with the card

A public service announcement to not drink and drive. It states if you are going to party like a rockstar, then catch a ride with All Star. A public service announcement to not drink and drive. It states if you are going to party like a rockstar, then catch a ride with All Star.
A reminder to give All Star good reviews if you like what they're doing. A reminder to give All Star good reviews if you like what they're doing.