Request a Delivery

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Request a Delivery

Hello! We are a group of volunteers servicing Northern Delaware who want to help in any way possible during these times. We want to get you the food, medicine, and other essentials that you need while also making sure everyone stays as healthy and safe as possible. Please fill out this form so that you can be provided the necessities you need!

Each delivery will be dropped off at your doorstep, with each box and bag disinfected. We ask that you do not open the door until the volunteer is off of your step, and do not invite the volunteer inside; unfortunately, we are unable to help unpack the groceries in your home. Payment methods are listed below. We will be able to deliver your groceries 1-2 days after your order has been placed, and will call you between 9-10am on the day of the delivery to confirm your order and go over specifics.

If you have a relative, friend, or neighbor who needs help, feel free to fill out this form for them below. You can also request that you be notified when the groceries have been delivered.

If you have any questions, feel free to contact us at poconno6@nd.edu, or by calling (302)-824-5169.

Disclaimer: We assume no liability for theft, incomplete orders, or late deliveries. While we believe this should be a smooth process, it is possible that some stores may not be fully stocked, and human error may occur. By completing this form you agree that we volunteers are not liable for errors that may occur.

First Name *

Last Name *

Telephone Number *

Email (optional)

What would you like us to deliver? Please be as specific as possible (number of items, brand if applicable, etc.) *

What store/pharmacy would you like us to pick up from? ("No Preference" is a possible answer!) *

Address (Including apartment number, if applicable) *

What date and time would you like us to deliver your items? (Please allow 1-2 days for delivery; we will call on the day of delivery around 9 a.m. to confirm the time) *

How much do you think the order will cost? If you aren't sure, please write in "Not Sure." *

How would you like to pay for your items? (This is a free delivery service; the only cost would be the cost of the items themselves!) *

Call ahead to the store – preferred if applicable; please call your local grocery store/pharmacy to check if this is possible before selecting this option

PayPal/Venmo prior to delivery – preferred, but not required! You will receive a follow-up email if you choose this option

Cash prior to delivery – a volunteer will collect cash at your house before immediately leaving to buy your items! All change will be returned to you.

If requesting prescription medication, please verify with the pharmacy that the medication is ready and the amount to be paid prior to filling out this form. *

I have verified that the prescription is ready and the amount that will be paid upon picking up.

I am not ordering prescription medications.

Other Notes

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