Order instructions Order Number Name, Surname * Street, Street number * Postal code Place * E-Mail * Phone number * Number of people in household 1 Remarks Fruits and Vegetables Apple 0 Pear 0 Orange 0 Banana 0 Potatoes 0 Salad 0 Cucumber 0 Peppers 0 Convenience Food (cooled) Spaetzle 0 German ravioli 0 Pizza 0 Gnocchi 0 Tortellini 0 Free text Milk and Cereal UHT milk 0 Lactose-free milk 0 Coffee cream 0 Cereal 0 Yoghurt 0 Free text Baked goods (packed) Toast 0 Crispbread 0 Cake 0 Bread 0 Coffee, Tea, Jam, Honey Tea 0 Ground coffee 0 Coffee pads 0 Decaffeinated coffee 0 Honey 0 Jam 0 Free text Dry Goods Noodles/Pasta 0 Rice 0 Semolina 0 Flour 0 Sugar 0 Dry yeast 0 Dumplings (Knödel) 0 Lentils 0 Canned Food Stew 0 Peas 0 Beans 0 Tomatoes 0 Corn 0 Applesauce 0 Tinned sausage 0 Spices/Oil/Vinegar Salt 0 Pepper 0 Vinegar 0 Oil 0 Ketchup 0 Mayonnaise 0 Sausages and dairy products (packed) Cold cuts/sausage 0 Cheese 0 Butter 0 Margarine 0 Free text Beverages (single bottles) Water 0 Sparkling water 0 Orange juice 0 Apple juice 0 Toiletries Toothpaste 0 Shower gel 0 Shampoo 0 Soap 0 Handkerchiefs 0 Sanitary towels 0 Toilet paper 0 Detergent 0 Disposable razer 0 Shaving foam 0 Miscellaneous Free text Please specify the number and goods Free text Please specify the number and goods Privacy policy * I've taken note of the privacy statement. I agree that my data will be collected and stored electronically to process my order.
