Waxahachie CARE Pantry Order Form

Waxahachie CARE Pantry Order Form

Ordering Online is designed for people who do not want more food than they can consume, single, or have a small household. We strive to accommodate your request, but are limited on options and can only fill your request with the current items we have on hand.
*This does not guarantee requested items. All items are dependent on availability at the time* If you select an item we don't have, we will try to fill your order with your next choice. When your order has been filled, a CARE Volunteer will call for you to pick up your order between Monday-Thursday from the time of 9:00 AM-12:00 PM.
Name

First Name Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Date of Birth

Month Day Year
Date
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
If you have any food allergies, please list them below:
If we can not complete one of your top 3 choices of the below categories, do you want substitutions?

Yes No
Canned Greens
Can Greens: Drag and rank your selections from 1-4 (1 being most desired, 4 being least desired):
Canned Veggies
Can Veggies: Drag and rank your selections from 1-6 (1 being most desired, 6 being least desired):
Do you want canned fruit?

Yes No
Tomatoes
Tomato Options: Drag and rank your selections from 1-6 (1 being most desired, 6 being least desired):
Soups
Soups: Drag and rank your selections from 1-4 (1 being most desired, 4 being least desired):
Beans
Beans: Drag and rank your selections from 1-8 (1 being most desired, 8 being least desired):
Canned Meat
Canned Meat Options: Drag and rank your selections from 1-7 (1 being most desired, 7 being least desired):
Snack Items
Snack Items Options: Drag and rank your selections from 1-6 (1 being most desired, 6 being least desired):
Condiments
Condiments: Drag and rank your selections from 1-8 (1 being most desired, 8 being least desired):
Dry & Breakfast Products
Dry Products options: Drag and rank your selections from 1-6 (1 being most desired, 6 being least desired):
Side Dishes
Side dishes: Drag and rank your selections from 1-6 (1 being most desired, 6 being least desired):
Do you want dry beans?

Yes No
Seasonal

Typically only during Thanksgiving and Christmas Holiday times.
Seasonal options: Drag and rank your selections from 1-4 (1 being most desired, 4 being least desired):
Peanut Products
Peanut product options: Drag and rank your selections from 1-3 (1 being most desired, 3 being least desired):
Miscellaneous
Miscellaneous options: Drag and rank your selections from 1-6 (1 being most desired, 6 being least desired):
Do you want coffee?

Yes No
Do you want bread?

Yes No
Frozen or Deli
Frozen or Deli: Drag and rank your selections from 1-8 (1 being most desired, 8 being least desired):
Do you want a dessert or pastry?

Yes No
Refrigerated Options
Refrigerated options: Drag and rank your selections from 1-6 (1 being most desired, 6 being least desired):
Meat
Meat: Drag and rank your selections from 1-6 (1 being most desired, 6 being least desired):
Do you want fresh fruit?

Yes No
Do you want fresh vegetables?

Yes No
*This does not guarantee requested items. All items are dependent on availability at the time* If you select an item we don't have, we will try to fill your order with your next choice. When your order has been filled, a CARE Volunteer will call for you to pick up your order between Monday-Thursday from the time of 9:00 AM-12:00 PM.
Should be Empty:

Waxahachie CARE Pantry Order Form

Canned Greens

Canned Veggies

Tomatoes

Soups

Beans

Canned Meat

Snack Items

Condiments

Dry & Breakfast Products

Side Dishes

Seasonal

Peanut Products

Miscellaneous

Frozen or Deli

Refrigerated Options

Meat