FoodShare Box Online Order Form

FoodShare Box Online Order Form

FoodShare Boxes are available for all York County SC residents! View the FoodShare Order and Pick-up Calendar here: https://www.hoperockhill.com/food-share-york-county To order FoodShare boxes in bulk for your company or organization, please call 800-357-0905.
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YOUR CONTACT INFORMATION:
Full Name*

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Email*
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Address*

Street Address

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Phone Number*
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COMPLETE YOUR ORDER HERE:
Today's Date:*

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Date
COST FOR EACH FOODSHARE BOX

$5 SNAP EBT | $20 FOR SMALL
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.
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SNAP EBT Box - $5Only choose this option if you are paying by SNAP EBT card. Please bring your card with you at pick-up.
$5.00 Quantity

FoodShare Small Box - $20Select 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.
$20.00 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, SCClover, SC
How did you hear about FoodShare York County?
Please select all that apply:*

Impact York County CoalitionH.O.P.E. (Helping Others Progress through Education)Clover Area Assistance CenterRock Hill Housing AuthorityThe Heart2Heart FoundationMy churchA family member or friendA nonprofit organizationA flyer or posterTelevisionRadioNewspaperFacebookEmailOther
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Please verify your order by signing your name here:
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