FoodShare Box Online Order Form

FoodShare Box Online Order Form

FoodShare Boxes are available for all York County SC residents! NEXT ORDER DEADLINE: August 11, 2022 | PICK-UP DATE: Wednesday, August 17, 2022 - To order FoodShare boxes in bulk for your company or organization, please call 800-357-0905.
YOUR CONTACT INFORMATION:
Full Name *

First Name Last Name
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State

Zip Code Country
Phone Number *
Please enter a valid phone number.
Is this a Cell Phone Number? *

Yes No
Do we have permission to send text reminders to your cell phone? *

Yes No
COMPLETE YOUR ORDER HERE:
Today's Date: *

Month Day Year
Date
COST FOR EACH FOODSHARE BOX

$5 SNAP EBT | $15 FOR ALL OTHERS
How many boxes are you ordering today?
Choose your payment option:

Cash - bring payment with you at time of pick-up. Check - bring payment with you at time of pick-up. SNAP EBT - We will call you to complete your payment. Please bring your card to pick-up. Credit, Debit or PayPal - Please check your email for a payment link to complete your order. CashApp - Our payment information will be in your order confirmation email.
Make your FoodShare Box selection here. Check the box and choose quantity.
prev next ( X )
SNAP EBT Box - $5 Only choose this option if you are paying by SNAP EBT card. Please bring your card with you at pick-up.
$ 5.00 Quantity

FoodShare Box - $15 Select this option if paying by Cash, Check, Credit, Debit, PayPal or CashApp. Note that a $1 processing fee will be added per box to payments made via Credit, Debit or PayPal.
$ 15.00 Quantity

Total

$ 0.00
Pick your FoodShare Box pick-up location:
Pick-up details will be emailed to you upon confirmation of your order. *

Rock Hill, SC Clover, SC I do not have transportation
How did you hear about FoodShare York County?
Please select all that apply: *

Impact York County Coalition H.O.P.E. (Helping Others Progress through Education) Clover Area Assistance Center Rock Hill Housing Authority The Heart2Heart Foundation My church A family member or friend A nonprofit organization A flyer or poster Television Radio Newspaper Facebook Email Other
Any questions or comments for our team?
Please verify your order by signing your name here:
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