Pantry Preference Form

Pantry Preference Form

Welcome to Rose Francis Foundation's Pantry Preference Form. Please complete the entire form to claim your preferences. Note: All preferences will guide Food Pantry volunteers and employees in selecting your monthly order. This form is not a promise that all preferences will be met. In the event you receive an item that you do not prefer contact(803)470-4012 for a exchange.
Personal Information
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Allergens and Accommodations
Allergens and Accommodations
Non Perishables

Milk

Water

Juice

Fruits

Rows	Yes	No	Allergen
Do you want fruit?

Vegetables

Rows	Yes	No	Allergen
Do you want vegetables?

Miscellaneous

Rows	Yes	No	Allergen
Baking Items (Flour, Sugar, Baking Soda/Powder, Cocoa)
Muffin Mix, Pancake Mix, Brownie Mix
Vinegar, Oil
Cereal
Fruit Snacks
Pasta Noodles
Soup, Broths, Sauces, Pastes

Perishables

Breads

Dairy

Rows	Yes	No	Allergen
Cheese
Eggs
Dry and Liquid Infant Formula
Plant-based Cheese

Children's Clothing

Adult Clothing

Hygiene

Personal Information