RESET INC Food Delivery
PLEASE REMEMBER YOUR DONATION IS TO SUPPORT THE DRIVER. THE FOOD IS FREE!!! CONSIDER DONATING TO THE ORGANIZATION TO KEEP RECEIVING THIS SERVICE AS FOOD COST IS RISING
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Delivery Address (Chesapeake, Virginia Beach, Norfolk, Portsmouth) Cities outside the four listed REQUIRE a minimum donation of $35+
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Please select available delivery schedules. If you are not home your food will be left at your front door and a photo will be taken. Please note-Delivery times may vary. Please be patient.
Family size? Any allergies or dietary restrictions? Do you have a child in diapers or pull ups? Please list size needed. You must complete this link-https://form.jotform.com/250994672640162
Special requests or instructions for the delivery driver
My Products
*
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Delivery donation for the driver.
$
22.00
Quantity
1
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Delivery donation for the driver.
$
35.00
Quantity
1
2
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10
Delivery donation for the driver.
$
45.00
Quantity
1
2
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10
GENERAL DONATION AND DRIVER DONATION
$
50.00
Quantity
1
2
3
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5
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9
10
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: