* ATTENTION *

In Person Customer Registration began October 1st, 2023.

All customers are required to complete in person registration and provide the required household documentation at their pick up.

You will need:

Proof of Identification for Applicant and all adults in the household; this includes valid picture ID or Driver License
Physical Mailing Address – NO PO Boxes
Names and birthdates of everyone living in the household.
Proof of existence for each child in the household; this includes birth certificate, Wisconsin Immunization Record, school report card, court records, or state insurance.
Proof of Residency in Oneida Co, WI of each household adult; this includes current utility bill, or first class mail dated within the last 30 days, or current year lease.
Monthly Gross Income must be at or below the Income Guidelines below: this is the gross income of the entire household; this includes all wages, social security, disability, pensions, child support and federal programs like W2.

** The old pantry ID cards will no longer be valid, you must provide a valid picture ID or Driver License at each visit. **

You will complete your registration during your visit. If you have any questions or would like to set an appointment to come in Mon- Fri from 8 am to 11 am to pre-register before your visit or if you need assistance, contact RAFP at 715-369-7237

To use the pantry you must reside in Oneida County, meet income eligibility, and show valid photo ID at each visit.

Have you been to the Rhinelander Area Food Pantry before?*

YesNo, I am a new customer. Please be prepared to complete registration in person upon pick up. Bring the required documentation.

Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Have there been any changes to your household? For example, number of people, telephone number, address. *

How many people are in your household? *

Please note! Your order must be placed in advance of your pick up day.

Orders to be picked up on Monday must be placed by midnight on Sunday.
Orders to be picked up on Wednesday must be placed by midnight on Tuesday.
Orders to be picked up on Saturday must be placed by midnight on Thursday.

When will you pick up your order? *Reminder: you can visit the Pantry once every 14 days.*

Wednesday October 4th, 2023 - 4 pm to 6 pmSaturday October 7th, 2023 - 9 am to 11 am

Will a proxy be picking up for you? If so, who?

** Please note, we do our best to keep this order form up to date. Food items on the order list are subject to change and may not be available at the time your food box is packed. **

Would you like Cold Cereal?

YesNo

Would you like oatmeal?

YesNo

Would you like Canned Fruit?

Mixed FruitPearsSliced PeachesNone

Would you like Nuts?

YesNo

Would you like Jelly?

YesNo

Would you like Peanut Butter?

YesNo

Would you like Canned Vegetables? *Households with 1-3 members choose up to 3 cans; 4 or more members choose up to 4 cans.

Would you like Pasta Sauce?

YesNo

Would you like Pasta?

YesNo

Would you like a can of chef boyardee pasta?

YesNo

Would you like stuffing?

YesNo

Would you like Macaroni and Cheese?

YesNo

Would you like a can of soup, if available?

YesNo

Would you like Rice?

YesNo

Would you like Canned Beans? *Households with 1-3 members receive 2 cans; 4 or more members receive 3 cans.

YesNo

Would you like instant potatoes?

YesNo

Would you like canned meat?

YesNo

Would you like a can of Salmon?

YesNo

Would you like a can of Tuna?

YesNo

Would you like a carton of shelf stable milk?

YesNo

Would you like syrup, flour, sugar, or oil?

Would you like Dog food or Cat food?

Dog foodCat FoodNone

Would you like a 4 pack of LED Lightbulbs?

YesNo

Would you like a Water Saving Kit ?

YesNo

Would you like a loaf of Sliced Bread?

YesNo

Would you like Assorted Bread (unsliced), rolls, and buns?

Bread onlyAssorted Buns & Rolls onlyBothNone

Would you like a variety of Fruits and Vegetables?

YesNo

Would you like Eggs if available?

YesNo

Would you like Assorted Dairy items? *Items may include yogurt, dips, cottage cheese, pudding, & cheese based upon availability.

YesNo

Would you like Frozen Meat? * Choices are based upon availability each day and may not be available at the time your order is picked. *

Would you like frozen pizza, if available?

YesNo

Would you like Frozen Vegetables or Fruit, if available ?

YesNo

Would you like Assorted Deli items/ prepared meals, if available?

YesNo

Would you like frozen lunchmeat or frozen peach cups?

Lunch MeatPeach CupsNone

Would like Milk if available?

YesNo

Comments?

*Please park in designated online order pick up spots and let the volunteers know that you have placed an online order.

Signature

Clear