Food Box Pick-up or Rideshare Request
Healthy Destination Access
Name
*
First Name
Last Name
Phone Number (Required)
*
Please enter a valid phone number.
Email (Optional)
example@example.com
Food Box Pick-up Location - Available the 1st and the 3rd Tuesday of the Month
Arcola - 10:00 AM at the Arcola Technology Building
Hollandale - 10:30 AM at the Hollandale City Hall Building
Rideshare to the Grocery Store: Stop & Shop #2 - 101 East Avenue North, Hollandale, MS, 38748
Tuesday - 9:00 AM - 1:00 PM
Saturday - 9:00 AM - 1:00 PM
SUBMIT
Should be Empty: