Food Box Sign-ups
Jon Henry General Store is pleased to offer a bi-weekly option to pick up pre-made food boxes at the store
Full details of the program can be found here:

This sign-up form is ONLY for those pre-ordering with a CASH or EBT purchase!

Credit, Debit, and Paypal purchases can be made here:

If form is LIVE, then you can still sign-up for pickup.
You must complete sign-up form by 9am Monday for Wednesday pick-ups.
You must complete sign-up form by 9am Thursday for Friday pick-ups.
If space allows, we may extend sign-up times.

Please complete the form multiple times if doing multiple pickups for yourself, friends, or family.

Pickup of the boxes begin at 9:30 am and must be collected by the close of our business hours.

This product is modeled on the Farm CSA programs.
We take pre-orders for each delivery day.
We may have to substitute products based upon availability caused by weather, quality, or supply.

Credit purchases can be made here:
Sign in to Google to save your progress. Learn more
Email *
Box Preference *
Please choose ONE, TWO, or even ALL
Please Choose the upcoming Pick-up Day *
Current Box Pickup Date
Last Name *
Phone Number (Including Area Code) *
Payment Option *
Please note that EBT payments cannot be done over the phone or online. EBT Payments can currently be completed only in-person. We encourage payment via PayPal or Cash to lessen stress on our phone systems. Credit Payments can occur online here:
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy