Serving the residents of Forsyth County, NC

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Center of Harvest

Holiday Schedule
Store hours:
Tuesday 4:00 PM - 6:00 PM
Thursday 3:30 PM - 7:00 PM
Saturday 9:00 AM - 11:00 AM

A Partner Agency ofSecond Harvest Food Bankand a member ofFeeding America

Home
The Problem
What We Do
How To Help
Get Help
Center of Harvest

Online Shopping – English SAMPLE

Order must be submitted by NOON of the day BEFORE pick-up is requested.

Must be an EXISTING client to use Online Shopping.

- Step 1 of 2

Agreement *

I agree

Day of the week to pick-up your groceries *

Tuesday
Thursday
Saturday

Date to pick-up your groceries *

So we can better plan, what time do you anticipate picking up your groceries? *

Client Number *

Name *

First

Last

Head of Household Birthdate *

Number in Household *

1
2
3
4
5
6
7
8
9
10+

Phone *

Email

If any selected items are unavailable, may substitutions be made? *

Yes
No

Shopping Items (any selected items are subject to availability)

Canned Vegetables *

None ;
Any ;
Baked Beans/Pork and Beans ;
Black Beans ;
Blackeye Peas ;
Carrots ;
Corn ;
Green Beans ;
Green Peas ;
Mixed Vegetables ;
Pinto Beans ;
Potatoes ;
Sweet Potatoes/Yams ;
Other

Canned Vegetables - Other *

Soup *

None ;
Any ;
Broth ;
Chicken Noodle/Rice ;
Cooking/Cream ;
Miscellaneous ;
Tomato

Soup - Miscellaneous *

Pasta *

None ;
Any ;
Canned Pasta (e.g. Spaghettios) ;
Canned Tomatoes ;
Dry Pasta (e.g. Spaghetti Noodles) ;
Macaroni and Cheese ;
Spaghetti Sauce ;
Tomato Paste ;
Tomato Sauce

Dry Vegetables *

None ;
Any ;
Dry Beans ;
Potato Flakes ;
Rice ;
Stuffing Mix ;
Other

Dry Vegetables - Other *

Canned Meat *

None ;
Any ;
Beef Stew ;
Chicken ;
Salmon ;
Tuna ;
Vienna Sausage

Snacks *

None ;
Any ;
Candy ;
Chips ;
Cookies ;
Crackers ;
Granola Bars ;
Other

Snacks - Other *

Miscellaneous Items *

None ;
Any ;
Beverages (other than milk) ;
Ketchup ;
Mayonnaise ;
Mustard ;
Peanut Butter ;
Salad Dressing ;
Other

Miscellaneous Items - Beverages *

Miscellaneous Items - Other *

Bread *

None ;
Any ;
Bagels ;
Baguettes ;
Buns ;
Cornbread ;
Pita ;
Sliced/Loaf ;
Rolls ;
Extra Bread

Sweets *

None ;
Any ;
Brownies ;
Cake ;
Cinnamon Rolls ;
Cookies ;
Cupcakes ;
Doughnuts ;
Muffins ;
Pastries ;
Pie ;
Sweet Breads ;
Bonus Sweet Bag ;
Extra Sweets

Breakfast *

None ;
Any ;
Cereal Bars ;
Dry Cereal-Fruit ;
Dry Cereal-Sweet ;
Dry Cereal-Unsweet ;
Grits ;
Oatmeal ;
Pop Tarts

Baking *

None ;
Any ;
Canned Milk ;
Flour ;
Baking Mixes (e.g. cake, brownies) ;
Pudding Mixes ;
Sugar

Canned Fruit *

None ;
Any ;
Applesauce ;
Fruit Cocktail ;
Mandarin Oranges ;
Mixed ;
Peaches ;
Pears ;
Pineapple ;
Raisins ;
Other

Canned Fruit - Other *

Fresh Produce *

None ;
Any ;
Apples ;
Bananas ;
Cabbage ;
Onions ;
Oranges ;
Potatoes

Refrigerated Items *

None ;
Any ;
Cheese ;
Fruit ;
Hummus ;
Lettuce/Salad Kits ;
Milk ;
Salsa ;
Sandwiches ;
Tea-Sweetened ;
Tea-Unsweetened ;
Vegetables ;
Yogurt

Refrigerated Items - Fruit *

Refrigerated Items - Vegetables *

Meat *

None ;
Any ;
Beef ;
Chicken ;
Fish ;
Lamb/Veal ;
Pork ;
Bonus Meat Bag

Do you have a birthday in your household in the next 30 days? *

Yes
No

Birthday - Gender

Birthday - Age

Adult
Child

Personal Items *

None ;
Any ;
Adult Diapers ;
Liners ;
Pads ;
Tampons ;
Other

Personal Items - Other *

Adult Diapers (Size) *

Small
Medium
Large
Extra Large

Diapers (Size) *

None ;
Any ;
Newborn ;
1 ;
2 ;
3 ;
4 ;
5 ;
6 ;
Wipes (if available)

Other Items / Special Needs

Phone : 1-336-331-3432

Email : info@clemmonsfoodpantry.org

2660 Neudorf Rd, Clemmons, NC 27012

Mailing address: PO Box 871, Clemmons, NC 27012

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