Costco/BoxBus Pickup - Signup Form
This is a signup/info form for getting Costco orders brought to your area from the delivery company Box Bus. All information is confidential and shared only with our Box Bus team to give you the best experience. 
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Please read the document linked HERE, it outlines the options for Costco Delivery, after you have read the linked document in full, return to the form and answer the questions.  *
Where are you ordering to? *
Will you be ordering for yourself/family or for a business? *
Will you be ordering for yourself/family or for a business? *
Please provide your First & Last Name. 
If you are ordering for a business at any point, please record the business name. 
BUSINESESS ONLY: If you are ordering for a business, does your location have a loading dock and/or space for a 30 ft cube truck to unload? 
Please provide your email. (This will be where the email updates, refunds and receipts will be issued to, choose carefully).   *
Please provide a phone number for contact. (This is extremely important in case we need to reach you). *
BUSINESSES ONLY: What is the address for delivery? (Delivery is currently only available for businesses with suitable space for the truck to unload. Non-Business orders and customers without suitable space for the truck must come pick up their order from a central pickup location). 
How many items are you expecting to order on average?  *
How often are you planning to order? *
Have you ever ordered groceries online for delivery or pickup before? *
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