RESERVE GROCERY BOX FORM

    We are now on a 2-Week distribution cycle

    This reservation is for June 19th pickup
    Please note the pick up is now at Veg-In-Out Market!
    The new pick up time is 10 am
    See your reservation email for details

    This form can be submitted up to 123 times.

    Please enter:


    Please confirm that you will be able to PICK UP your box on Saturday
    afternoon, June 19th at 10am . Note: This service is currently
    only available by pickup.

    List any allergens so we can do our best to avoid putting them in your box


    Are you a SNAP, TANF, Medicaid, SSDI, or SSI Recipient?




    "Important Note! If for any reason you are no longer able to pick up,
    please be sure to let us know as soon as possible so that we can give the
    box to the next household on our wait list. Please send an email to
    reservelasveganfb@gmail.com"