FMGS Schedule Delivery Form
All fields marked by * are required.
First and last name: *
Street address only (include apt#): *
Is a gate code require to access address?: *
Guard On Duty
If yes, enter code below or name of person to contact:
Fort Myers Beach
North Fort Myers
Delivery address phone or cell number: *
Can number above accept a text?: *
Delivery day: (a calendar will open) (no same day deliveries): *
Delivery time (no, exceptions): *
Anytime Between 9-4pm.
Shell Point-Wed Only-12-2pm.
Cape Coral-9-11am. only
Fort Myers Beach-9-11am. only
Sanibel Island-9-11am. only
North Fort Myers-9-12pm.
North Fort Myers-1-4pm.
Sometimes we must make substitutions: *
Do you have any food allergies?: (if no, write no. If yes, what are they) *
Is person receiving the groceries sick with a cold or flu?: *
Yes (we'll knock and leave groceries)
You (name on credit card) will not chargeback a credit card payment made to Fort Myers Grocery Service (FMGS) for any reason. *
Leave instructions or a message: