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.
Please enter today's date:

MonthDayYear
YOUR CONTACT INFORMATION:
Full Name*

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

Street Address

Street Address Line 2

CityState

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

YesNo
Do we have permission to send text reminders to your cell phone?*

YesNo
COMPLETE YOUR ORDER HERE:
Today's Date:*

MonthDayYear
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.
prevnext( X )
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, SCUnion Baptist Church - Rock Hill, 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
Any questions or comments for our team?
Please verify your order by signing your name here:
Signature

Clear
Please verify that you are human*
Should be Empty: