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RARA Neighborhood Grocery Order Form
The Grocery is open for in-person shopping on Mondays, Wednesdays, and Thursdays from 2:30 - 4:30 PM, and on Saturdays from 10 AM - 12 PM.

If you are not available to shop during those times, and don't have anyone who can shop for you, we can put together a shopping cart of items for you to pick up at your convenience. Filling out this form will let us know what items you would like us to prepare, and when we should expect you to be here.
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First and Last Name *
Date of Birth *
MM
/
DD
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YYYY
Number of People in Your Household *
Please provide your phone number. *
If you do not have a phone, please describe the best way for us to contact you.

PLEASE NOTE: We usually will NOT call/contact you unless you need a delivery! If you want to confirm your pickup by phone, please call us (463-6943).
New or Updated Client Information *
New clients are welcome. We do NOT require an ID or proof of income.
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