Request Home Delivery
Home Delivery Form
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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)

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 *
State *
Zip *
Further dropoff instructions, including doorcode if necessary:
Military Service: Are you Active Duty? *
Household Income Eligibility
See links for current TEFAP guidelines: 
Household Income *
You do not have to qualify for the income eligibility in order to receive home delivery.
Number of people in your household *
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