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 Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Allergens and Accommodations
Allergens and Accommodations
Non Perishables
Milk
MIlk
Allergen
1%
2%
Skim
Condensed
Almond
Oat
Cashew
Other
Water
MIlk
Allergen
Distilled
Spring
Sparkling
Flavored (No Sugar)
Flavored (Sugar)
Juice
MIlk
Allergen
Apple
Orange
Grape
Cranberry
100% Juice
0% Juice
Fruits
Yes
No
Allergen
Do you want fruit?
Vegetables
Yes
No
Allergen
Do you want vegetables?
Miscellaneous
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
Yes
No
Allergen
Fish
Beef
Chicken
Turkey
Pork
Plant-based Meats
Breads
Yes
No
Allergen
White
Wheat
Rye
Sourdough
Whole Grain
Bagels, Rolls
Dairy
Yes
No
Allergen
Cheese
Eggs
Dry and Liquid Infant Formula
Plant-based Cheese
Clothing
Children's Clothing
Yes
No
0-3
3-6
Sm
Med
Lg
Adult Clothing
Yes
No
Sm
Med
Lg
XL
XXL
3XL+
Hygiene
Yes
No
Diapers Sm
Diapers Med
Diapers Lg
Pull Ups
Underwear
Bras
Bathing Items
Contraceptive Items
Lotions, Butters, Oils
Tampons, Pads, Cups
Signature
Continue
Continue
Should be Empty: