ACP Southeastern Resource & Logistics Center Food Pantry
Register your household before arriving, choose an available pickup window, and provide information needed to prepare your food bag.
Is this your first time registering with ACP Food Pantry?
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New household
Returning household
Household Information
Head of Household Full Name
*
First Name
Last Name
Street Address
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City
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ZIP Code
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County of Residence
*
Please Select
Columbus County
Other
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Preferred Contact Method
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Text
Email
Both
Total Number of People in Household
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Number of Children Ages 0 to 17
Number of Seniors Age 60 and Older
Food and Dietary Needs
Dietary Needs and Food Preferences
No special dietary needs
Gluten-free
Dairy-free
Peanut allergy
Tree nut allergy
Soy allergy
Egg allergy
Wheat allergy
Sesame allergy
Fish allergy
Shellfish allergy
Low-sodium
Low-sugar
Low-glycemic
Vegetarian
No pork
No beef
Infant or toddler food needs
Senior-friendly food needs
Other food allergy or dietary restriction
Additional Dietary Details
ACP will make reasonable efforts to accommodate dietary preferences and food restrictions based on available inventory. Specific foods cannot be guaranteed.
Select Your Food Pickup Date and Time
Pickup and No-Show Policy ACP prepares food in advance based on your scheduled pickup time. Please arrive during your selected 15-minute pickup window. ACP will hold your prepared food for up to 15 minutes after your scheduled pickup time. After the 15-minute grace period, ACP is not required to continue holding your food, and the food may be made available to another household. If you are unable to attend your scheduled pickup, please cancel or reschedule before your appointment time whenever possible. Households that miss 3 scheduled pickup appointments without completing the pickup will no longer be eligible to participate in the ACP pantry appointment program unless ACP approves reinstatement. I understand that ACP prepares food based on my scheduled pickup time. I agree to arrive during my selected pickup window. ACP will hold my prepared food for up to 15 minutes after my scheduled pickup time. After that time, ACP is not required to hold my food. I also understand that if I miss 3 scheduled pickup appointments, I may no longer be eligible to participate in the ACP Food Pantry program unless ACP approves reinstatement.
Initials
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Please enter your initials to acknowledge the policy.
Grand Opening Pickup Date and Time
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Thanksgiving Pickup Date and Time
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Winter Holiday Pickup Date and Time
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Pick up location
5487 Silver Spoon Rd, Building # B Whiteville, NC 28472
Pickup Authorization
Will someone other than the head of household sometimes pick up food for your household?
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Yes
No
Authorized Pickup Person #1
Authorized Pickup Person #2
Submit
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