Pickup Report

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Pickup Report
Enter in all data every time you pickup food from a store or restaurant.
* Required
Name *
First and Last name.
Your answer
Store *
Select a store from the dropdown list.
Big Lots - Frederick Ave, Gaithersburg, MD
ChickFila - Lakeview Overlook, Ashburn, VA
ChickFila - Dulles Crossing, Sterling, VA
Cooseman - Conowingo Ave, Jessup, MD
Harris Teeter - Town Center, Olney, MD
KFC - Montgomery Rd, Ellicott City, MD
KFC - Farmwell Hunt, Ashburn, VA
MOMs - Assateague Dr, Jessup, MD
MOMs - Elden St, Herndon, VA
Panera - Little Patuxent, Columbia, MD
Panera - Solomons Is Rd, Edgewater, MD
Panera - Georgetown Blvd, Eldersburg, MD
Panera - Frederick Ave, Gaithersburg, MD
Panera - Kentlands Blvd, Gaithersburg, MD
Panera - Frederick Rd, Germantown, MD
Panera - Century Blvd, Germantown, MD
Panera - Seneca Meadows, Germantown, MD
Panera - Reisterstown Rd, Pikesville, MD
Panera - E. Middle Ln, Rockville, MD
Panera - Clifton Blvd, Westminster, MD
Pappa Johns - Suburban Ave, St Paul, MN
Starbucks - Arundel Mills Rd, Hanover, MD
Starbucks - Annapolis Rd, Hanover, MD
Starbucks - Assateague Dr, Jessup, MD
Starbucks - Highway 36W, St Paul, MN
Starbucks - Broadlands Ctr, Broadlands, VA
Starbucks - Southbank St, Sterling, VA
Starbucks - Dobbin Rd, Columbia, MD
TJ - Jennifer Rd, Annapolis, MD
TJ - Wisconsin Ave, Bethesda, MD
TJ - Marie Curie Dr, Elkridge, MD
TJ - Contour Rd, Gaithersburg, MD
TJ - Reisterstown Rd, Pikesville, MD
TJ - Darnestown Rd, Rockville, MD
TJ - Jefferson St, Rockville, MD
TJ - Columbia Pike, Silver Spring, MD
TJ - Kenilworth Dr, Towson, MD
TJ - Glover Park, Wash DC, MD
TJ - Pennsylvania Ave, Wash DC, MD
TJ - 14th St NW, Wash DC, MD
TJ - Florida Ave, Wash DC, MD
TJ - 25th St NW, Wash DC, MD
TJ - Clifton Blvd, Westminster, MD
TJ - Asaph St, Alexandria, VA
TJ - Highland St, Arlington, VA
TJ - Brimfield Dr, Ashburn, VA
TJ - Lee Hwy, Centerville, VA
TJ - Main Street, Fairfax, VA
TJ - Leesburg Tpke, Falls Church, VA
WAWA - Milestone Pkwy, Hanover, MD
WEG - McGaw Rd, Columbia, MD
WEG - Wormans Mill Rd, Frederick, MD
WEIS - Rockville Pike, Rockville, MD
Weight *
Estimate the total POUNDS as closely as you can (numbers ONLY).
Your answer
Date *
What part of the day was your pickup?
How much time did you spend on this pickup? Include travel time to/from location.
Miles *
Please estimate how many miles you drove for this entire support.
Your answer
Type *
Select 'Scheduled' if it is your normal day/time.
Issue *
Was there an issue with store personnel or something else?
Please add information about this pickup if it is special or unusual.
Your answer
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