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Minutes
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AM/PM Option
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Full Name
*
First Name
Last Name
Phone Number
*
E-mail
Destination Type
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Hotel/Motel
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Hotel / Motel Name
Please Select
Almanett
Americas Best value
Best Western Plus Seaway Inn
Clarion Inn
Comfort Suites
Courtyard Marriot
Days Inn
Econolodge
Fairfield Inn & Suites
Hampton Inn & Suites
Hilton Garden Inn
Hilton Home2 Suites
Holiday Inn Gulfport-Airport
Intown Suites
Island View Casino Resort
Legacy Inn & Suites
Magnolia Bay Hotels
Motel 6
Quality Inn
Ramada
Residence Inn
Sleep Inn & Suites
Value Place
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Other
Apartment / Condo Name
Name Of Establishment
Street Address Line 1
*
Street Address Line 2
City
State
Postal / Zip Code
*
Delivery Speed
*
As soon as possible
At a scheduled time
Deferred Order Date
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Day
Year
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Deferred Order Time Window
1
2
3
4
5
6
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8
9
10
11
12
:
Hour
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15
30
45
Minutes
AM
PM
AM/PM Option
until
until
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
When
Special Delivery Instructions
Restaurant Choice
*
Order Details
*
Payment Method
*
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Cash
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Will the card, cardholder and cardholder's ID all be present at the time of delivery?
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Delivery Fee
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