Community Sign-Up Form

H-E-B and Capital Metro have joined together with the Central Texas Food Bank to provide Help-at-Home Kits. These free kits will include shelf-stable items delivered to your doorstep. Please sign-up below to get on the list. Limit 1 kit per household.

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Phone Number

Question Title

* 4. Neighborhood or Apartment Complex Name

Question Title

* 5. Home Address

Street

City

State

Zip Code

Question Title

* 6. Are you a MetroAccess member?

Yes

No

Question Title

* 7. Do you live with someone that is 55 or older?

Yes

No

Question Title

* 8. Does anyone in your household receive SNAP benefits?

Yes

No

Question Title

* 9. Are you receiving food assistance from another organization?

Yes

No

Thank you! We will be in touch soon.