Please complete this form if you or someone in your home has been told to self-quarantine because of coronavirus (COVID-19) and you would like to receive food delivered to your home.

We will ask for your address and contact information in order to deliver food to your door. That information may be shared with our community partner organizations who may assist us with deliveries.

All requests received BEFORE 5:00 PM on 9/24/2020 will receive delivery on 9/26/2020 between 8:00 - 11:00 AM. All requests received AFTER 5:00 PM on 9/24/2020 will receive delivery on 10/3/2020 between 8:00 - 11:00 AM.

Food Delivery is available in Benton, Carroll, Madison & Washington counties.

Elan̄e kwoj aikuj bwe jen deliver ak bok waj mōn̄a nan mweo imwom, joij im kanne boom in n̄e emoj ba waj n̄an kwe ak juon iaan rimwemom rej aikuj quarantine ak pad wōt ilowaan mweo kin nan̄inmij in coronavirus (ak COVID19).

Jenej aikuji atōreej eo am kab nomba in telebon bwe jen maron̄ deliver ak bōk waj kijom mōn̄a n̄an turin kejem eo am. Kem nej lelak information/melele kein am n̄an jet iaan droloul ko kem ej partner ibbeir bwe ren bar jiban̄ deliver mōn̄a.

Aolep ro im raar letok aer kajitok ak request ikijjen mōn̄a, rej aikuj ba tok mokta jen 5 awa jota ilo 9/24/2020 bwe ren maron̄ deliver/ak bok waj ilo 9/26/2020 ikotaan 8:00 awa jibbon̄ n̄an 11:00 awa raelep. Ak aolep ro raar letok aer request ak aikuj ikijjen mōn̄a elikin 5 awa jota ilo 9/24/2020, renaaj receive i mōn̄a ko kijier ilo 10/3/2020 ikōtaan 8:00 awa jibbon̄ lok n̄an 11:00 awa raelep.

Por favor complete esta forma si le han dicho a usted o alguien en su hogar que deben Self-Quarantine (Isolación) por coronavirus (COVID-19) y desea recibir comida hasta a su hogar.

Le preguntaremos su dirección y su información para comunicarnos y poder llevarle comida hasta la puerta de su casa. Esa información puede ser compartida con las organizaciones de la comunidad que nos asisten con llevar comida hogares.

Todos los pedidos recibidos ANTES de las 5 de la tarde el 9/24/2020 serán entregados el 9/26/2020 dentro de las 8 y 11 de la mañana. Todos los pedidos recibidos DESPUES de las 5 de la tarde el 9/24/2020 serán entregados 10/3/2020 dentro de las 8 y 11 de la mañana.

Loading... Loading...
You have selected an option that triggers this survey to end right now. To save your responses and end the survey, click the button below to do so. If you have selected the wrong option by accident and do not wish to leave the survey, you may click the other button below to continue, which will also remove the value of the option you just selected to allow you to enter it again and continue the survey.
The response has now been removed for the last question for which you selected a value. You may now enter a new response for that question and continue the survey.