December 8-December 12 Food Pantry Order Form
The Food As Medicine Experience Food Pantry Schedule:

  • Monday - Wednesday: 10:00am-4:30pm
  • Thursday: 10:00am-3:00pm
  • Friday: 10:00am-4:30pm
Pre-Order:
Please complete this form. Once completed, our team will prepare your order. When you arrive on site, please come into our front office and a Warehouse Specialist will bring your order to you.

Walk-In Order:
Please complete this form. Once complete, a Warehouse Specialist will bring your order to you. Please wait in the Front Office.

Organic Produce Disclaimer: 
Majority of the fresh produce The Food As Medicine Food Pantry distributes is organic. Due to the lack of wax and chemicals, the produce must be kept in appropriate climates. 
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Email *
Recipients First and Last Name
Household Size
PRODUCE
Apples
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Pears
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Bell Pepper
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Carrot Bundle
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Onions (3lb bag)
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Potatoes (3lb bag)
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DRY & CANNED GOODS
Spaghetti Noodles
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Masa
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Peanut Butter
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Canned Green Beans
Canned Sweet Corn
Canned Spaghetti Sauce
Canned Salmon
SNACKS & DRINKS
Gold Peak Zero Sugar Tea 
FROZEN
Salmon Fillets
Ground Beef
Gardening:
All plant starts have been donated by Tilth Alliance
Seed Bundle
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Diapers
Baby Diapers (We are currently out of wipes)
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PRE-ORDERS ONLY: Pick-Up Date
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YYYY
PRE-ORDERS ONLY: Pick-Up Time
Time
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A copy of your responses will be emailed to the address you provided.
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