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Food Order
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Telephone
*
Your answer
Pickup or Delivery
*
Pickup between 9:30am - 11:00am, Monday through Saturday
Delivery
Day Requested
*
MM
/
DD
/
YYYY
Number of Adults
*
0
1
2
3
4
5
Number of Children
*
0
1
2
3
4
5
Food Allergies
Your answer
Special Dietary Needs
Low Salt
Low Sugar
Gluten Free
Vegetarian
Vegan
Other:
Grains
Bread
Mac & Cheese
Pasta
Rice: White
Rice: Brown
Rice: Rice-a-roni
Cereal: Adult
Cereal: Kid
Other Grains (availability and options vary)
Vegetables
Fresh Produce
Canned Corn
Canned Carrots
Canned Beets
Canned Peas
Canned Green Beans
Canned: Misc. Vegetables
Other Vegetables (availability and options vary)
Fruits
Fresh Produce
Canned Apple Sauce
Canned Peaches
Canned Pears
Canned Pineapple
Canned Oranges
Canned Fruit Cocktail
Juice
Other Fruits (availability and options vary)
Tomato Products
Diced Tomatoes
Spaghetti Sauce
Other Tomato Products (availability and options vary)
Beans
Black Beans
Cannellini Beans
Baked Beans
Kidney Beans
Dry Beans
Other Beans (availability and options vary)
Meat
Hash
Chili
Canned Tuna
Canned Salmon
Canned Chicken
Hamburger
Chicken
Pork
Spreads
Peanut Butter
Other Spreads (availability and options vary)
Dairy
Milk
Eggs
Butter
Cheese
Snacks (2 choices)
Crackers
Jello/Pudding
Cookies
Candy
Chips
Nuts
Other Snacks (availability and options vary)
Drinks (1 choice)
Water
Other Drinks (availability and options vary)
Condiments (1 choice)
Ketchup
Mustard
Mayonnaise
Salad Dressing
Other Condiments (availability and options vary)
Baking Items (1 choice)
Cake Mix
Brownies
Muffin Mix
Pie Filling
Other Baking Items (availability and options vary)
Soup
Tomato
Chicken Noodle Soup
Cream Soup
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