Miiller's Grocery & Meat Counter Order-Curbside & In-store Pick-Up-PLEASE allow 2 hours for orders to be filled. All orders placed after 4 pm will be for the next business day. Thank you!! **FREEZER PACKS ARE BACK-ORDER ONLINE SEPARATELY OR CALL IN THOSE ORDERS**
CURBSIDE ORDER ONLY LISTED BELOW
Sign in to Google to save your progress. Learn more
Email *
Name (Last, First) *
Phone Number *
Pick up method *
Pick up DATE * MUST be Monday-Saturday 10 am- 7 pm with a 2 hour processing time *
MM
/
DD
/
YYYY
Pick up TIME * MUST be Monday-Saturday 10 am- 7 pm with a 3 hour processing time  *All orders placed after 4 pm must be for the next day. *
Payment Method *
If payment method was Credit or Debit Card, please select type of card
Clear selection
If payment method is credit/debit card, please enter 16 digit card number
If payment method was Credit or Debit Card, please enter the expiration date
If payment method was Credit or Debit Card, please enter the 3 digit security number on back of card
Zip Code for Credit Card
Itemized List of Groceries-PLEASE be as specific as possible, we will do the best we can and call you with questions. **PLEASE LIST ITEMS ON SEPARATE LINES ** *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy