Food Pantry Order Request Form
Please use the form below to indicate your preferences. Note that all items are subject to availability. 
Food pantry curbside pickup hours are as listed below (except for holidays):
Monday 9-12:00
Wednesday 11:30am-5:45
Thursday 9am-12:30pm

**Please use THIS LINK to schedule your appointment. Appointments must be made at least 24 hours in advance.**

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Email *
What is your full first name? *
What is your full last name? *
What is the best phone number to reach you? (ex. 212-456-7890) *
Do you reside in Ashland, MA? Please bring proof of residency (such as a bill with your name and address on it) to your first pick up appointment. At this time we can only serve residents of Ashland, Massachusetts. *
Primary language for communication *
How many people are in your household?  (ex. 1, 2, etc.) *
How many children are under age 18?  (ex. 1, 2, etc.) *
How many people are over the age of 65? (ex. 1, 2, etc.) *
Do you have any food allergies, aversions, dietary restrictions, or foods you don't eat (religious restrictions, food intolerances, etc.)? *
If you answered "yes" to the previous question, please list the foods that you do not eat.
Do you wish to receive a little bit of everything or are there specific items that you are looking for? *
If some of the items that you requested are not available, would you like substitutions (if available)?  *
Please choose from the following dry goods:
*Please remember that not all items listed may be available at the time you place your order.
Would you like any of the following beverages?
Would you like any of the following frozen or refrigerated items? Meats are kept frozen.
To be in the Thanksgiving and Christmas programs you must have children in household under 17, be a resident of Ashland, MA, and have pre-registered for program by October 20th. If you are NOT in the Thanksgiving/Christmas program, would you like to receive a turkey before Thanksgiving and/or traditional Thanksgiving sides? Frozen turkeys may be available the week of November 24th. 
Do you wish any of the following items? Please check off the items you wish to receive. *
Required
Do you wish to receive any of the following baby/toddler items? *
Required
Do you need cleaning supplies or paper products?
Do you need pet food?
Is there anything else we should know to help us best complete your order?
If you need to reach us, please call 508-532--7949 or email humanservices@ashlandmass.com
A copy of your responses will be emailed to the address you provided.
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