Food Pantry Request Form
Please select the food items you would like to receive from our pantry. We serve our Richmond California communities with this form. Send us an email to let us know if you have children and we can provide items they would like to eat. We can't guarantee everything you list.
Select Your Food Items
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Canned Beans
A variety of canned beans such as black beans, kidney beans, and pinto beans.
$
Free
Quantity
1
2
Canned Corn
Canned sweet corn, ready to cook or eat.
$
Free
Quantity
1
2
Rice (1 lb)
Long grain white rice, 1 pound package.
$
Free
Quantity
1
Pasta (1 lb)
Assorted pasta types, 1 pound packages.
$
Free
Quantity
1
2
Canned Tomato Sauce
Canned tomato sauce for cooking and sauces.
$
Free
Quantity
1
2
Oatmeal (Box)
A box of rolled oats for breakfast.
$
Free
Quantity
1
Peanut Butter (16 oz)
Creamy or chunky peanut butter, 16 ounces.
$
Free
Quantity
1
Cereal (Box)
Assorted cereal boxes for breakfast.
$
Free
Quantity
1
Fresh Fruits (Bag)
Fresh seasonal fruits.
$
Free
Quantity
1
Canned Tuna
Tuna packed in water or oil
$
Free
Quantity
1
2
Canned Chicken
$
Free
Quantity
1
2
Canned Chili
$
Free
Quantity
1
2
Canned Beef Stew
$
Free
Quantity
1
2
Instant Mashed Potatoes
$
Free
Quantity
1
2
Corn Tortillas
$
Free
Quantity
1
Flour Tortillas
$
Free
Quantity
1
Boxed MacNCheese
$
Free
Quantity
1
2
Boxed Cereal
$
Free
Quantity
1
2
Cooking Oil (Vegetable or Canola)
$
Free
Quantity
1
Corn Masa Harina
$
Free
Quantity
1
Top Ramen (Chicken Flavor)
$
Free
Quantity
1
2
Top Ramen (Beef Flavor)
$
Free
Quantity
1
2
Turkey* (Seasonal)
Available Oct thru Dec
$
Free
Quantity
1
Product Name
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Your Full Name
*
First Name
Last Name
Your Email Address
example@example.com
Your Cell Phone Number
*
Please enter a valid phone number.
Submit Request
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