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Home Delivery Application

Delivery Radius Notice:

At this time, our home deliveries are limited to households within the following boundaries: 410 (north), Harry Wurzbach (east), Garraty Road (south), and N. New Braunfels (west). If you live outside this area, we hope to expand in the future and encourage you to stay connected!

Multi-line address
Do you experience food insecurity
Yes
No

Food insecurity is the lack of reliable access to sufficient, affordable, and nutritious food necessary for an active, healthy life.

Are you homebound due to a medical condition, disability, or other circumstances?
Yes
No
How often would you like home-delivered produce?
What delivery day do you prefer?
(optional)

Please upload a document from a healthcare provider or relevant authority confirming your homebound status. This may include a doctor’s note, medical record, or other verification.

(optional)

Please upload a document that demonstrates your financial situation, such as a recent pay stub, benefits letter, or other relevant paperwork. This information helps us confirm your eligibility for home delivery services.

(optional)
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