FoodShare Remote Pick-Up Request

1. Name

2. Email

3. TUID Number

4. Is this your first time placing an order for remote pick-up?

YesNo

5. FOOD: Please check up to 10 items total between this list and the toiletries list (no more than 3 toiletries, please) that you would like to receive in your bag. Please specify if you have a specific preference or want a duplicate of any items below, and we will do our best to fulfill your request.

6. TOILETRIES: Please check up to 3 toiletries that you would like to receive in your bag (Reminder: FOOD + TOILETRIES must EQUAL no more than 10 items). Please specify if you have a specific preference or want a duplicate of any items below, and we will do our best to fulfill your request.

7. Please specify below if you would like any DUPLICATE items or if you would like a specific kind of item (e.g., if you specifically want Black Beans from your "Canned Beans" selection). We will do our best with our inventory to fulfill all requests.

8. Please specify below if there are any specific items that you do not want to receive from a given category (e.g., you chose "Fruits" but would not like Pineapple).

9. Is there anything else you would like us to know about packing your bag?

10. Once your bag is ready for pick-up, you will receive an email from tufoodshare@gmail.com All bags will be placed in or around the green FoodShare Donation bin on the second floor of the University Union across from the information desk with an identifying mark on them. You may pick-up your bag at any time the University Union is open - building hours may be found at the bottom of the following page: https://www.towson.edu/campus/landmarks/union/ Please pick-up your items at your earliest convenience to avoid overcrowding. Please also be aware that bags not picked-up within 7 days of delivery notification will be returned to the FoodShare. Thank you!

I acknowledge this

11. Please note: Filling out this form is equivalent to one visit to the FoodShare. You will need to fill out this form each week that you are requesting items (i.e., if you need items for three consecutive weeks, you will need to fill out the form three times - once during each week).

I acknowledge this

12. I agree that I have read the instructions on this form, and I will email foodshare@towson.edu with any questions or concerns

Yes