Request Home Delivery

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Home Delivery Form

Email *

Phone *

What can you expect in your delivery?

- 1 box of dry goods
- 1 box/bag of produce

- 1 meat option

- ONLY if available, a dairy (eggs, milk, cheese)

***NO CUSTOMIZATIONS AT THIS TIME***
Please visit the food bank for specific dietary needs and items not offered in home delivery program.

PLEASE NOTE: You only need to sign up once.

Once you have signed up for this service we will send a delivery to you every other week unless you request removal. Please see other form for cancellation of service or updates/changes to your service (ex. address change or number change)

This form is for NEW delivery requests only:

For changes/updates and removal requests for a current service;

please scroll down for the form below this one

First Name *

Last Name *

Eloise's Cooking Pot delivers to:

Tacoma, University Place, Parkland, Spanaway, Lakewood, Puyallup, Fife, Federal Way, Algona, and Pacific

Address Line 1 *

Address Line 2

City *

JBLM

McChord AFB

Tacoma

Algona

Federal Way

Fife

Lakewood

Parkland

Pacific

Puyallup

Spanaway

University Place

Auburn

State *

Zip *

Further dropoff instructions, including doorcode if necessary:

Military Service: Are you Active Duty? *

Yes

Household Income Eligibility

See links for current TEFAP guidelines:
English

Household Income *

You do not have to qualify for the income eligibility in order to receive home delivery.

Yes, I meet the income eligibility as defined by the link provided.

No, I do not meet the income eligibility as defined by the link provided.

Number of people in your household *

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