Shopping List - Open Cupboard Food Pantry

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 email the pantry at opencupboardfoodpantry.org or call the office at 908.730.7320.

If you are a new client and have never visited our pantry before, please be sure to ALSO fill out the NEW CLIENT registration form.

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

Online orders need to be placed 2 hours in advance. 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.

Client Status of OPEN CUPBOARD *

Current New (I've never been to the pantry and will fill out NEW REGISTRATION form)

Date (Pick up or delivery date) *

Date

Preferred Pick Up Time

Tuesday AM Tuesday PM Wednesday AM Thursday AM Friday PM

Full Name *

First Name Last Name

Contact Number

Area Code Phone Number

E-mail

# Adults (18 + older) *

# Seniors (65 + older) *

# Children (under 18) *

School Lunch Program? *

Yes No

How many children are eligible?

Transportation

PICK UP Delivery - INCLUDE ADDRESS (MUST have approval from Main Office) LINK Other

Delivery Address

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

GRAINS - 1-2 Family Size = 3 choices
3-4 Family Size = 5 choices
5+ Family Size = 6 choices

GRAINS

SOUP - 1-2 Family Size = 3 choices
3-4 Family Size = 5 choices
5+ Family Size = 6 choices

SOUP

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

MISC

VEGETABLES - 1-2 Family Size = 5 choices
3-4 Family Size = 7 choices
5+ Family Size = 8 choices

VEGETABLES

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

FRUIT

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

PROTEIN

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

NON-FOOD

OCFP - Open Cupboard Pantry Clients ONLY

USDA - United States Department of Agriculture

TANF - Temporary Assistnace to Needy Families (Must have children under 18 years old)

SFPP - State Food Purchase Program

Produce (based on availability)

YES NO

Baked Goods (based on availability)

YES NO

Eggs

Yes No

Milk

Yes No

Shelf Milk

Yes No

Cheese TYPE

Meat & Meat Alternatives

YES

NO

Pork

Venison

Beef

Chicken

Meatless /Plant Based

Fish

Pet Food

Dog Cat Other

Personal Care Products

Deodorant Woman Deodorant Men Shampoo Body Wash Toothbrush Toothpaste Feminine Hygiene

Preference (Tampons/Pads)

Baby

Diapers Wipes Pullups

Indicate Size

ADDITIONAL PICKS / OTHER

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

Pick up Option *

In house appointment requested No contact pick up

My appointment is currently scheduled for: (date/time)