Keeling Mutual Aid Grocery Delivery Request Form
We deliver non-perishables to those in need in the Keeling neighborhood every Wednesday. Please fill out this form if you live in the Keeling neighborhood and would like us to deliver a box to your door.
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How many people live in your home? *
How many children are in your house? *
Optional: We have a relationship with the Food Bank. You could potentially receive more additional food once a month if you are willing to show a photo ID (i.e. Costco card) to the person who delivers your food (this is a Food Bank policy). Is this something you would like to participate in?
What's your phone number? *
What is your address? *
Grocery deliveries are currently happening every Wednesday- is there a time on Wednesday between noon and 6pm that would work for you?
We are currently offering a box of non-perishable food that contains basic things like pasta, canned tuna, canned beans, etc. Does that work for you?
Does anyone in your house have any food allergies or food you have to avoid? (i.e. diabetic, celiac, gluten-free, vegan, vegetarian, allergies, etc.) *
We have some connections to other organizations so we are taking a moment to see if you have any other concerns related to your basic needs; such as access to utilities,  medicine, hygiene items, etc.
Do you have any animals in your household that need food? If so, what kind and how many? *
Thank you so much for contacting us. We will get back to you within 48 hours to coordinate a delivery.
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