Green Baxter Court Online Food Order Form
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Contact Information
First Name
Last Name
Home Address
Phone
Email
How many people are in your household?
View the TEFAP in Michigan Income Eligibility Guidelines
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What are the reasons for your visit/order (required)?
1-NEED Eligible for TEFAP/USDA
2-INCOME Eligible for TEFAP/USDA
3-PROGRAM Eligible for TEFAP/USDA
Additional reasons for your visit/order (optional)?
Benefits/Social Assistance Cancellation
Benefits/Social Assistance Changes
Benefits/Social Assistance Delays
Debt
Delayed Wages
Family Breakup
Homeless
Low Wages/Not Enough Hours
Natural Disaster
Ongoing Need
Relocation
Sickness/Medical Expenses
Unemployed/Recently Lost Job
Unexpected Expense
Unexpected Housing Expense
Other
Produce
Apples
Asparagus
Bananas
Berries
Broccoli
Cabbage
Carrots
Celery
Collard Greens
Cucumber
Grapes
Lettuce
Melon
Onions
Oranges
Pineapple
Potatoes
Spinach
Sweet Potatoes
Tomatoes
No Preferences
Other
If "Other," please indicate here:
Please specify any produce-related details:
Non-Perishables
Baking Mix
Boxed Macaroni & Cheese
Breakfast Bars
Canned Beans
Canned Chicken
Canned Fruit
Canned Soup
Canned Tomatoes
Canned Tuna
Canned Vegetables
Cereal
Oatmeal
Pasta
Peanut Butter
Rice
Snack Items
Tomato Sauce
No Preferences
Other
If "Other," please indicate here:
Please specify any non-perishable-related details:
Meat
Beef
Chicken
Fish
Halal Meat Only
Pork
Vegetarian Protein (tofu, tempeh, etc.)
No Preferences
Other
If "Other," please indicate here:
Please specify any meat-related details:
Prepped Food
Bread
Cooked Beef Meals
Cooked Chicken Meals
Cooked Pork Meals
Cooked Vegan Meals
Cooked Vegetarian Meals
Cut Fruit
Dessert
Hard Boiled Eggs
Pasta Salad
Potato Salad
Salad
No Preferences
Other
If "Other," please indicate here:
Please specify any prepped food-related details:
Dairy
Cheese
Eggs
Whole Milk
2% Milk
1% Milk
Yogurt
Skim/Fat Free Milk
Lactose-Free Milk
No Preferences
Other
If "Other," please indicate here:
Please specify any dairy-related details:
Dietary Preferences
Please list any foods to avoid here:
Please list any highly desired foods here:
Is there anything else you would like us to know?
The food we receive for distribution changes frequently and so we are unable to give an exact list of what we will have available. We will do our best to provide what you need and alert you promptly if we do not have an item you requested.
Contact Information