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 email or call for you to pick up your order between Monday-Thursday from the time of 9:00 AM-12:00 PM.

NO SAME DAY ORDERS!!!! YOU MUST GIVE US 24HR ADVANCED NOTICE. IF YOU ORDER OVER THE WEEKEND, THE EARLIEST IT WILL BE FILLED IS TUESDAY.

CONFIRMATION OF PICKUP DATE IS REQUIRED BEFORE ORDER WILL BE FILLED.
Are you a current Neighbor/Client? (Are you currently receiving groceries from us?)*

YesNo
Name

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

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / 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?

YesNo
Canned Greens
Canned Greens: Limit 1. Drag and rank your selections from 1-4 (1 being most desired, 4 being least desired):
Canned Veggies
Canned Veggies: Limit 1. Drag and rank your selections from 1-6 (1 being most desired, 6 being least desired):
Do you want canned fruit?

YesNo
Tomatoes
Canned Tomato: Limit 2. Drag and rank your selections from 1-6 (1 being most desired, 6 being least desired):
Soups
Canned Soups: Limit 1. Drag and rank your selections from 1-4 (1 being most desired, 4 being least desired):
Beans
Canned Beans: Limit 1. Drag and rank your selections from 1-8 (1 being most desired, 8 being least desired):
Canned Meat
Canned Meat: Limit 1. Drag and rank your selections from 1-7 (1 being most desired, 7 being least desired):
Snack Items
Snack Items: Limit 2. Drag and rank your selections from 1-6 (1 being most desired, 6 being least desired):
Condiments
Condiments: Limit 1. Drag and rank your selections from 1-8 (1 being most desired, 8 being least desired): Limit One
Dry & Breakfast Products
Dry Products: Limit 2. Drag and rank your selections from 1-6 (1 being most desired, 6 being least desired):
Side Dishes
Side Dishes: Limit 1. Drag and rank your selections from 1-6 (1 being most desired, 6 being least desired):
Do you want dry beans?

YesNo
Do you want coffee?

NoK-CupsGroundInstant
Seasonal

Typically only during Thanksgiving and Christmas Holiday times.
Would you like a Holiday Bag filled with seasonal extras? (Limited Supply)

YesNo
Seasonal options: Drag and rank your selections from 1-4 (1 being most desired, 4 being least desired):
Would you like apple cider? (limited supply)

YesNo
Peanut Products
Peanut Products: Drag and rank your selections from 1-3 (1 being most desired, 3 being least desired):
Miscellaneous
Miscellaneous: Limit 1. Drag and rank your selections from 1-6 (1 being most desired, 6 being least desired):
Do you want bread?

YesNo
Do you want the flour pictured above? It is like all purpose flour but is more dense and milled in Waxahachie.

YesNo
Would you like honey?

YesNo
Would you like seasonings?

SaltPepperGarlic PowderOnion PowderManagement's Choice
Would you like aluminum foil?

YesNo
Frozen or Deli
Frozen or Deli: Limit 4, No Duplicates. Drag and rank your selections from 1-8 (1 being most desired, 8 being least desired):
Do you want a dessert or pastry?

YesNo
Refrigerated Options
Refrigerated: Limit 1. Drag and rank your selections from 1-6 (1 being most desired, 6 being least desired):
Meat
Meat: Limit 3, No Duplicates. Drag and rank your selections from 1-6 (1 being most desired, 6 being least desired):
Do you want fresh fruit?

YesNo
Do you want fresh vegetables?

YesNo
Non Food Items
Would you like toiletries or laundry detergent? Limit 3, No Duplicates.

ShampooConditionerBody WashBar SoapLiquid Laundry DetergentPowder Laundry DetergentPod Laundry DetergentBaby Powder
Would you like homemade lip balm? If so, which flavor would you like? Limit 1.

LavenderEucalyptusVanilla
*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 email or call for you to pick up your order between Monday-Thursday from the time of 9:00 AM-12:00 PM.

NO SAME DAY ORDERS!!!! YOU MUST GIVE US 24HR ADVANCED NOTICE. IF YOU ORDER OVER THE WEEKEND, THE EARLIEST IT WILL BE FILLED IS TUESDAY.

CONFIRMATION OF PICKUP DATE IS REQUIRED BEFORE ORDER WILL BE FILLED.
Which day can you pick up your order?*

Tuesday 9am to 12pmWednesday 9am to 12pmThursday 9am to 12pm
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

Non Food Items