Please fill this out to receive a free Care Package. Care packages are filled with a case worth of Pepsi Products and a gift bag. The specific items in each care package vary depending on the availability at the time.
Once this form is completed, one of our volunteers will email you to coordinate your pick up.
- One per household per month
- If you want to pick up for another household, you will need to fill out the form for that person with THEIR OWN UNIQUE CONTACT INFORMATION. Not another version of your own contact information. Also, they will need to communicate with us to make any special arrangements for their care package pick up.
- Registrations do not roll over into the next month if your Care Package is not picked up before the end of the month.
- We are not able to send multiple care packages with any one registrant. Each registrant must pick up their own care package.