Returning River Delivery Clients Returning River Deliver ClientsPlease fill out this form by Monday at 8 am of each week to receive a delivery for the week. If the form is not filled out by Monday at 8 am, we might not be able to get you added for the week. Note: this form is ONLY for returning clients who have all information submitted to The River already. If you are a new client, please go to the New River Delivers Client form, next to this form on our website.Name(Required) First Last Phone(Required)Email(Required) Address(Required) Street Address Apartment Number City ZIP Code Number in Household(Required)Please enter a number from 1 to 10.Day of the Week First Choice(Required)Please select which day of the week would be your first choice for this week. NEW HOURS FOR WEDNESDAY DELIVERIES WILL BE 2 PM - 5 PM. TUESDAY, THURSDAY AND FRIDAY WILL CONTINUE WITH NORMAL DELIVERY HOURS OF 10 AM-3 PM. Tuesday Wednesday Thursday Friday Day of the Week Second Choice(Required)Please select which day of the week would be your second choice for this week. Tuesday Wednesday Thursday Friday Please select what you would like to have in your delivery this week:(Required)Choose multiple Cooler Box (may contain fresh fruit, vegetables, dairy and ready made meals) Dry Box (contains canned goods and shelf stable items) Gluten Free Box Meat Variety Eggs Milk Bread Bakery Coffee ground or bean Do you want...Choose one (optional) Heath and Beauty Bag Laundry Detergent Bleach HiddenFresh Produce (Tell us how many)HiddenLettuHiddenCucumbersHiddenCabbageHiddenGreen Onion (bundle)HiddenCantaloupeHiddenHoneydewHiddenDo you want... 1 head of Lettuce 1 Zucchini 1 package of Sweet Cherries Carrots This week we will have a variety of Fruits and VegetablesThis could contain potatoes, sweet potatoes, mangos, kiwis, melons, banana peppers, green peppers, corn and plantains. Yes, I want any of those items No, I do not want any of those items Extra Fresh Fruits and Vegetables if availableThe River occasionally receives donations of fresh fruits and vegetables through out the week, if we have extra items do you want them to be in your delivery? Yes No Do you want...Choose multiple (optional) Adult Diapers/Disposable Underwear Pads Baby Diapers Baby Food Baby Formula Black Hair Dye Do you want our FAM meal Smothered Sausage with Rice Vegetable Stir Fry with Rice none Size of Adult Diapers(Required)We have limited quantity, but will do our best to provide when available. Size of Baby Diapers(Required)We have limited quantity, but will do our best to provide when available. Any additional comments?