Online order form for food pick-up

Food Pickup

Pick up for 11/20 & 11/22

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Have you been to the Antigo Community Food Pantry before? Are you a REGISTERED CLIENT?

YesNo, I want to become a client of the ACFP. I have never been to the pantry. (Please call the pantry at 715-623-1103 Submitting an online order form does NOT mean you are registered. You must call the pantry BEFORE a distribution. Once we have all of your personal information in our system, you are then registered to obtain food. Thank you!)
Please submit orders for Wednesday by Monday at midnight and orders for Friday by Wednesday at midnight. This allows time for our volunteers to fill your orders.

If you don't, you will receive a standard box for your household size. Thank you!
What is your name (FIRST AND LAST NAME)?
What is your phone number? Please provide a working phone number. We need to be able to contact you about your order.
What is your email address?
If there have been any changes to your household (number of people, address change, new phone number, etc...) It is your responsibility to call the Pantry as soon as possible to get your information updated. You will only receive food for the number of people we show in our system.
How many people are in your household?
When will you be coming to the pantry to pick up your order?

Friday
Will a proxy be picking up for you? If so, who? There must be a proxy form on file for anyone not on the account to pick up food for you.
Regular or low-salt diet?

RegularLow-salt
Would you like frozen meat?

Yes please.No thank you.
Would you like bakery: sweets or bread?

Bread only please.Sweets only please.Both please
Would you like fresh produce?

Yes please.No thank you.
Please choose one or two.

Peas (low salt if needed)Corn (low salt if needed)Green Beans (low salt if needed)PotatoesAsparagusMix VeggiesSliced Carrots
Please choose one.

Black BeansPinto BeansRed Kidney BeansDried Pinto Beans
Would you like Pasta Sauce?

Yes pleaseNo thank you
Please choose one.

Cream of Mushroom SoupTomato SoupChicken Noodle SoupVegetable Soup
Please choose one.

Diced TomatoesTomato Sauce
Would you like Macaroni & Cheese?

Yes pleaseNo thank you
Would you like Chicken Ramen Noodles?

Yes pleaseNo thank you
Would you like Seasoned Stuffing Mix?

Yes pleaseNo thank you
Please choose one.

White RiceSeasoned Rice & Beans
Please choose one.

ChickenTunaRed Salmon
Would you like Peanut butter?

Yes pleaseNo thank you
Please choose one.

Mixed FruitApplesaucePears
Please choose one.

HazelnutsPecans
Would you like Bear Creek Soup Mix?

Yes pleaseNo thank you
Would you like Oatmeal?

Yes pleaseNo thank you
Would you like Snacks?

Yes pleaseNo thank you
Do you need incontinence products? Please choose one.

Men's sz Small/Medium Disposable underwear
Would you like Dog Food?

Yes pleaseNo thank you
Do you need toilet paper?

YesNo
Do you need feminine products? (We do NOT have tampons)

Pads
Do you have any comments?
The Pantry will be closed: Nov 28th and 29th (there will be NO food distribution Friday 11/29) Dec 24th and 25th (there will be NO food distribution Wednesday 12/25) Dec 31st and Jan 1st (there will be NO food distribution Wednesday 1/1)
Thank you for filling out this form! As stated above, we will do our best to fill your bags with the items you have selected but please remember that can change based on what we have in stock. Thank you!
Should be Empty:

Food Pickup

If there have been any changes to your household (number of people, address change, new phone number, etc...) It is your responsibility to call the Pantry as soon as possible to get your information updated. You will only receive food for the number of people we show in our system.

The Pantry will be closed: Nov 28th and 29th (there will be NO food distribution Friday 11/29) Dec 24th and 25th (there will be NO food distribution Wednesday 12/25) Dec 31st and Jan 1st (there will be NO food distribution Wednesday 1/1)