Maui Grocery Order Form | Maui Market Delivery

***PLEASE READ***
To select an item from the expandable grocery sections below YOU MUST CLICK THE button for EACH item you want to add AFTER selecting a quantity & item specifics. Each item will be added to your Grocery Cart, which will appear directly above the 'Item Search' heading. To remove unwanted items, click 'Continue' at the bottom of this page & make your revisions from the Order Summary page.

CUSTOMER INFORMATION (All Fields Required)

Name On Reservation:
Email:
Phone:
Arrival Date:
Arrival Time:
Location:
Specific Item Preference:
Family Size:

Referred By:
Include a gratuity for assistance of bellman, concierge, driver, etc.?

Our fee for the shopping, round-trip drive to your location, and delivery in your kitchen is 30% of the store's receipt subtotal(s) -OR- for orders under $150 there is a flat-rate $45 fee. Hawaii State Excise tax (4.166%) and a Credit Card Processing fee (3%) will also be added. To ensure that your order is waiting for you upon arrival, please complete this form at least 48-hours prior to check-in. Due to grocery store price fluctuations and seasonal availability, we do not have prices listed on our website. The final bill will be taken from the receipt of the grocery store(s) we shop at for your order and an itemized receipt is auto-emailed 72 hours after delivery

Item Search

ALCOHOL AGREEMENT (Fill out ONLY if purchasing alcohol)

Name:
D.O.B.
Driver's License:
Address:
City/State/Zip:
Expiration Date:

I certify that I am at 21 years of age or older:
*The above information must be filled out completely or you will not receive the Wine, Beer, or Spirits requested.

By clicking this box, I agree to the terms of service.