Stockbox DoorDash Delivery Request

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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.

Date of Birth *

You must be 60 years old or older to be eligible.

YYYY

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.

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This form was created inside of Food Pantry of Waukesha County.