CUSTOMER ORDER INTAKE FORMS
Make Grocery Requests Easier to Manage
Give customers a convenient way to submit their grocery-service requests, contact information, and shopping preferences.
My Grocery Service provides a standard intake form for independent grocery-service operators, with opportunities for additional customization through Co-Op Shopper.

HOW IT WORKS
From Customer Request to Grocery Service
A simple way for customers to share their grocery needs and for independent operators to review and arrange service.
Submit a Request
Customers provide their contact information, grocery needs, and service preferences.
Review the Details
The operator reviews the request and contacts the customer to clarify any details.
Arrange Grocery Service
The operator confirms availability, fees, scheduling, and service arrangements directly with the customer.
Submitting an intake form is a service request—not a confirmed grocery order or online payment.

START WITH THE ESSENTIALS
A Simple Form for Customer Grocery Requests
The standard intake form helps independent grocery-service operators collect the information needed to review a customer's request and coordinate service.
The standard form can collect:
Customer name and contact information
Grocery list or shopping instructions
Preferred stores and product preferences
Pickup or delivery requests
Scheduling preferences and special instructions
Operators review requests and confirm service arrangements directly with their customers.
ADVANCED ORDER INTAKE SOLUTIONS
Built for More Than Basic Grocery Requests
Advanced intake forms give independent grocery-service operators greater control over how customer requests are collected, organized, and directed.
Feature checklist:
Minimum grocery order requirements and calculated service fees
Delivery fees based on distance or service area
Conditional questions tailored to customer selections
Integrated FAQs, service terms, and service area maps
Request order routing to individual shoppers or team members
Available for Operator Starter Sites, advanced forms can also carry over to Co-Op Shopper's full website platforms as a business grows.

Features and configurations vary by operator. Demonstration fees and requirements are examples only.
READY TO EXPLORE YOUR OPTIONS?
The Right Intake Form for Your Grocery Service
Whether you're starting with a simple customer intake form or need advanced features for managing service fees, delivery areas, and shopper teams, Co-Op Shopper offers solutions designed to support your business.
Start with an Operator Starter Site through My Grocery Service and explore additional capabilities as your business grows.