Stockbox DoorDash Delivery Request
In partnership with United Way of Greater Milwaukee & Waukesha County and DoorDash, The FOOD Pantry is offering a senior food delivery program called Stockbox DoorDash. The program provides income-eligible seniors  with an opportunity to receive home delivery of a FREE Stockbox monthly.

Please fill out the form completely to get started in the program. The FOOD Pantry will contact you in one to two business days with more information.

Sign in to Google to save your progress. Learn more
Date of Birth *
You must be 60 years old or older to be eligible.
Phone Number *
This must be a cell phone because it is the number we will use to text you updates about your Stockbox DoorDash delivery.
Select a Delivery Day *
Select a day of the week for your delivery. Deliveries are made on Monday, Tuesday, Thursday, or Friday between 10 AM – 1 PM.
First Name *
Last Name *
Street Address *
Apartment or Unit Number
City *
State *
Zip Code *
Delivery Notes
Deliveries can be made to apartment buildings. Delivery drivers will coordinate with the recipient for instructions on entering the building.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Food Pantry of Waukesha County.