This program is currently available once a month.

Other Basic Needs

Select items not stocked in the grocery and clothing stores are offered for online order and pick up including: bedding, baby goods (bassinets, diapers, etc.), undergarments (pajamas, socks, underwear, etc.), and other items depending on supply. We will call you when your order is ready for pickup.

Shelter/Safe House

If you currently live in a shelter or safe house, please list the name and contact info for the shelter/safe house.

Additional Information

Adult #1

Adult #2

Adult #3

Adult #4

Child #1

Child #2

Child #3

Child #4

Child #5

Child #6

Demographic Information (optional)

This information is used for funding purposes only! Your answers will not impact the fulling of your order in any way (even if you choose not to complete it). The information gathered may help Project Just Because to receive grants to further benefit those in need. Thank you!
(Please select all that apply)
If you selected "other", please describe how you identify your ethnicity.


Please add to your safe senders list in your email account to ensure delivery of your request receipt. If you do not receive your email confirmation, please check your SPAM folder.
For security verification, please enter any random two digit number. For example: 64