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Grocery Request
After you fill out this order request, we will process your list within 24hours. If you have not receive your order within 24 hours please email us at
info@cans4cuts.org
* Indicates required question
Email
*
Record my email address with my response
Are you a new or existing client?
*
I am a new client
I am an existing client
Fruit Juice
*
Please choose one
Apple Juice
Orange Juice
Required
Poultry
*
Please choose one
Thighs
Legs
Wings
Breast
Required
Frozen Vegetables
*
Please choose 2 items
Green Beans
Broccoli
Corn on the Cob
Mixed Vegetables
Required
Ground Meats
*
Turkey
Beef
Required
Pancake Mix & Syrup
*
YES
NO
Required
Spaghetti Noodles & Sauce
*
YES
NO
Required
Deli Meats
*
Turkey
Ham
Required
Bread
*
White
Wheat
Required
Peanut Butter & Jelly
*
YES
NO
Required
Rice
*
Brown
White
Required
Hot Dogs
*
Beef
Turkey
Pork
Required
Hot Dog Buns
*
YES
NO
Required
Milk Half-Gallon
*
Whole
1%
2%
Required
Cheese Slices
*
American
Cheddar
Colby Jack
Required
Fruits
*
Apple
Banana
Oranges
Required
Dry Cereal
*
Froot Loops
Apple Jacks
Raisin Bran
Corn Flakes
Cheerios
Required
Your name
*
Phone number
*
E-mail
Preferred contact method
*
Phone
Email
Required
Preferred delivery time
*
Day 9am- 12pm
Evening 12pm -4pm
Required
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