Shopping List

In an effort to streamline the process of this electronic shopping list, please fill out as much information as you can. Check to ensure you are choosing items based on family size and adhering to maximum quantities if applicable. If you are submitting this form online and have any questions, please call the office at 908.730.7320 (extension #3).

We request that you limit your monthly visits to TWICE a month.

Online orders need to be placed 24 hours in advance. You must call the OCFP and make an apopointment to pick up your order. DO NOT COME TO THE PANTRY WITHOUT A CONFIRMED APPOINTMENT. If you place an order and do not pick up, you will not be permitted to order online again until further notice.

Best efforts will be made to select all items requested. Substitutions may be made based on daily inventory.

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

County*

Contact Number

Area CodePhone Number

E-mail

# Children (0-17)*

number of children

# Adults (18-64)*

number of Adults

# Seniors (65+)*

number of seniors

Allergies*

Client Status*

Government ONLY*

Date (Pick up)*

Date

Preferred Pick Up

Transportation

PICK UPLINKOther

Picks Basket Number

Please choose the item (s) you would like - UP TO THE TOTAL AMOUNT ALLOWED for your family size.

GRAINS - 1-2 Family Size = 2 choices
3-4 Family Size = 4 choices
5+ Family Size = 5 choices

"Item Filled" column is for

PANTRY STAFF USE ONLY

GRAINS:

Item Filled:

✓N/A

GRAINS:

Item Filled:

✓N/A

GRAINS:

Item Filled:

✓N/A

GRAINS:

Item Filled:

✓N/A

GRAINS:

Item Filled:

✓N/A

Vegetables - 1-2 Family Size = 2 choices
3-4 Family Size = 4 choices
5+ Family Size = 5 choices

"Item Filled" column is for

PANTRY STAFF USE ONLY

VEGETABLES

Item Filled:

✓N/A

VEGETABLES

Item Filled:

✓N/A

VEGETABLES

Item Filled:

✓N/A

VEGETABLES

Item Filled:

✓N/A

VEGETABLES

Item Filled:

✓N/A

Soup - 1-2 Family Size = 2 choices
3-4 Family Size = 4 choices
5+ Family Size = 5 choices

"Item Filled" column is for

PANTRY STAFF USE ONLY

SOUP

Item Filled:

✓N/A

SOUP

Item Filled:

✓N/A

SOUP

Item Filled:

✓N/A

SOUP

Item Filled:

✓N/A

SOUP

Item Filled:

✓N/A

FRUIT- 1-2 Family Size = 2 choices
3-4 Family Size = 3 choices
5+ Family Size = 4 choices

"Item Filled" column for

PANTRY STAFF USE ONLY

FRUIT

Item Filled:

✓N/A

FRUIT

Item Filled:

✓N/A

FRUIT

Item Filled:

✓N/A

FRUIT

Item Filled:

✓N/A

PROTEIN - 1-2 Family Size = 2 choices
3-4 Family Size = 3 choices
5+ Family Size = 4 choices

"Item Filled" column for

PANTRY STAFF USE ONLY

PROTEIN

Item Filled:

✓N/A

PROTEIN

Item Filled:

✓N/A

PROTEIN

Item Filled:

✓N/A

PROTEIN

Item Filled:

✓N/A

MISCELLANEOUS - 1-2 Family Size = 1 choice
3+ Family Size = 2 choices

"Item Filled" column for

PANTRY STAFF USE ONLY

MISC

Item Filled:

✓N/A

MISC

Item Filled:

✓N/A

NON-FOOD - 1-2 Family Size = 1 choice
3+ Family Size = 2 choices

"Item Filled" column for

PANTRY STAFF USE ONLY

NON-FOOD

Item Filled:

✓N/A

NON-FOOD

Item Filled:

✓N/A

Eggs

Item Filled:

✓N/A

Milk

Item Filled:

✓N/A

Shelf Milk

Item Filled:

✓N/A

Cheese

Item Filled:

✓N/A

Produce (based on availability)

Item Filled:

✓N/A

Bakery Goods (based on availability)

Item Filled:

✓N/A

Pet Food

Item Filled:

✓N/A

Pet Food

Item Filled:

✓N/A

Pet Food Other:

Personal Items - All Family Sizes = 4 choice
* No Duplicate Choices *

"Item Filled" column for

PANTRY STAFF USE ONLY

PERSONAL CARE

Item Filled:

✓N/A

PERSONAL CARE

Item Filled:

✓N/A

PERSONAL CARE

Item Filled:

✓N/A

PERSONAL CARE

Item Filled:

✓N/A

Baby/Adult Incontinence Products
All Family Sizes = 1 choice per individual

"Item Filled" column for

PANTRY STAFF USE ONLY

Baby/Adult Incontinence Products

Item Filled:

✓N/A

Indicate Sizes

Baby/Adult Incontinence Products

Item Filled:

✓N/A

Indicate Sizes

Baby/Adult Incontinence Products

Item Filled:

✓N/A

SFPP:

Items Filled:

YesN/A

USDA Meats

Items Filled:

YesN/A

USDA Other

Items Filled:

YesN/A

ADDITIONAL ITEMS:

Use this field to request specialty items such as diapers, pet food, laundry etc.

Items Filled:

YesN/A

OCFP - Other

Items Filled:

YesN/A

Total Weight: