ReFRESH Grocery Distribution
Groceries are picked up from the Childhood Cancer Foundation office located at 330 Alabama Street, Suite K, Redlands, CA 92373
Appointment Information
Select your Preferred Pick-up Time
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Full Name
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First Name
Last Name
E-mail
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example@example.com
Cell Number
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Provide additional information
Patient's Full Name
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First Name
Last Name
What is your zip code?
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Preference in food?
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Please Select
Meat and Diary OK
Vegetarian Products ONLY
Vegan Products ONLY
How many children in the household? Ages birth - 17 years.
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Please Select
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How many Adults in the household? Ages 18 - 54 years.
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Please Select
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How many Seniors in the household? Ages 55+ years.
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Please Select
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How many Veterans (US Military) in the household?
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Please Select
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Submit
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