ASI Food Pantry After-Hours Lockers
Name
*
First Name
Last Name
Sac State Student ID #
*
Sac State Email
*
Confirmation Email
Please re-enter your email. If you mistype your email, you won't receive a code for pick-up.
Phone Number
Please enter a valid phone number.
Pick the best day for you to pick up on campus. You'll have 48 hours to pick-up after you receive your access code in your email inbox. If no slots are shown, press the next month button to see February 2024.
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Please list any dietary restrictions we should know when preparing your items.
Pick any.
Chicken Stuffing Mix
Pick any.
Canned Chicken & Rice Soup
Canned Tuna
White Chicken Breast (Pouch)
Creamy Peanut Butter Jar
Pick any.
White Long Grain Rice (Dry, 1lb)
Black Beans (Dry)
Brown Rice (Dry, 2lbs)
Pinto Beans (Dry)
Elbow Macaroni
COVID-19 Test Kits
Garbanzo Beans (Dry)
Pick any.
LifeStyles Latex Condom (Size Large)
LifeStyles Liquid Personal Lubricant (water-based)
Pick any.
Boom Chicka Pop Cheddar Popcorn
Would you like any safe sex supplies?
How to use a condom in English/Spanish guide (1)
LifeStyles Large Latex Condom
Trojan Lubricated One Latex Condom
LifeStyles Regular Latex Condom
OASIS Premium Personal Lubricant (Compatible with natural rubber latex, polyisoprene, and polyurethane condoms)
LifeStyles Liquid Lubricant w/ Aloe Vera and Vitamin E
Do you need your locker to be below waist height?
*
Yes
No
Would you like us to put your items in a cardboard box or paper bags?
Yes
No
I understand that I must bring my own bag to pick up my items.
I understand
I understand that if I fail to fill out the provided cancellation form & fail to pick up within my appointment time, this will result in having to use the food pantry only in person.
*
I understand
I will pick up my order within 48 hours after receiving my code from LuxerOne and notify Food Pantry staff if I have any issues.
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I agree
Submit
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