LENZ Curbside Order Form

PLEASE KNOW WE ARE NOW OPEN FOR IN-STORE SHOPPING. YOU WILL GET THE MOST TIMELY SERVICE BY WALKING IN OUR DOOR. SINCE CUSTOMERS IN OUR STORE HAVE TO TAKE PRIORITY, CURBSIDE ORDERS MAY BE DELAYED.

We need some information toward getting what you want.
Information we absolutely need is marked with a red asterisk.
If started with this page and you have not already read the curbside instructions, go do that first!

Your Contact Information

First Name

Last Name

Email Address

Phone number

Alternate Phone Number

Credit/Debit Card Billing Address

We only want your card address; we’ll call you for the actual card number at the time of your purchase.

Street Address/PO Box

State

City

ZIP Code

The Goodies!

Just do your best. We don’t require you to know exactly what you need. If you have a budget, feel free to include that since that will guide us.

Items would you like to purchase and questions/comments to Lenz staff:

Please know we have a $20 minimum for orders due to the extra labor involved with curbside service.

If you want, upload an image file if you think it’ll help (jpg,gif,pdf,heic,png).

If you need to send more than one image, tell us in the comments and we’ll get back to you for the rest.

How did you hear about our curbside service?

We will contact you with any questions and once your order is ready to go we’ll call you for payment by credit/debit card.

We’ll call you as soon as we are able. If you decide to come and shop in our store instead after sending us this form, please let us know so that we don’t pull your order unnecessarily.

After you click “Send” you will be taken to a “thank you” page. If this does not happen, check to make sure you filled in all the required fields above. (Look for the red asterisks.)

If it still doesn’t work or you don’t receive the order confirmation email (check your spam/junk folder), please call us at 423-1935.

Thank you!