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First Name
Last Name
My Products
Categories:
All
All
Refrigerated Items
Fresh Produce
Fruit
Vegetables
Soup/Mac N' Cheese
Oils & Vinegar/Sauces/Spices
Peanut Butter & Jelly/Condiments
Tomatoes, Pasta & Pasta Sauce
Canned Items
Beans, Rice & Grains
Beverages
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Refrigerated Items
IF AVAILABLE - MILK
$
Free
Quantity
1
If AVAILABLE - EGGS
$
Free
Quantity
1
Fresh Produce
IF AVAILABLE - FRESH FRUIT
$
Free
Quantity
1
IF AVAILABLE - FRESH VEGETABLES
$
Free
Quantity
1
Fruit
Mandarin Oranges 15 oz
$
Free
Quantity
1
Vegetables
Green Beans 14.5 oz
$
Free
Quantity
1
Corn 15.25 oz
$
Free
Quantity
1
2
No Salt Added Corn 15.25 oz
$
Free
Quantity
1
Soup/Mac N' Cheese
Cream of Mushroom Soup 10.5 oz
$
Free
Quantity
1
Cream of Chicken Soup 10.5 oz
$
Free
Quantity
1
Assorted Ramon Noodles
$
Free
Quantity
1
Oils & Vinegar/Sauces/Spices
Garlic Powder 2 oz
$
Free
Quantity
1
Lea & Perrins Worcestershire Sauce 15 oz
$
Free
Quantity
1
Peanut Butter & Jelly/Condiments
Peanut Butter 16 oz
$
Free
Quantity
1
Tomatoes, Pasta & Pasta Sauce
Rotini Pasta 16 oz
$
Free
Quantity
1
Low Sodium Traditional Pasta Sauce 15 oz
$
Free
Quantity
1
Canned Items
Tuna 4 oz
$
Free
Quantity
1
2
Starkist Wild Yellow Fin Tuna 2.6 oz
$
Free
Quantity
1
Freshe Gourmet Tuna Meal 4.25 oz
$
Free
Quantity
1
Beans, Rice & Grains
Blackeye Peas 15.5 oz
$
Free
Quantity
1
Rice Soy Casserole 13.8 oz
$
Free
Quantity
1
Beverages
Juicy Juice Apple Juice Box 4.23 oz
$
Free
Quantity
1
2
Berry Juice Box 4.23 oz
$
Free
Quantity
1
2
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
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Postal / Zip Code
Any special instructions, landmarks or other helpful information to guide the driver to your door.
Phone Number
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Please enter a valid phone number.
Date of Birth
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Please list ages of all household members
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Estimated monthly household income
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Why do you need your food delivered?
*
Health too poor to go to food pantries or Community Kitchen
No transportation to food pantries or Community Kitchen
Food pantries/Community Kitchen aren't open when I have transportation
Other
Is anyone in the home a veteran or spouse of a veteran?
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Yes
No
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Groceries to Go Order Form
Orders are due by 1 pm on Monday for Thursday delivery. One order per household per week. If your order is placed after 1 pm on Monday, it will be held for next Thursday delivery.
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