Active Faith Food Pantry online order form. We are located in South Lyon. Distribution days are Mondays from 11:00 am - 6:00 pm. Please come during your appointment time and allow half an hour to get your order together before coming to the pantry. If you have trouble coming to the pantry, please call our office at 248-437-9790.

In the interest in maintaining social distancing, when you pull up to our building, please remain in your car and one of our volunteers will meet you there.  
All items are subject to availability. 
Eligibility for TEFAP is based on the household being in need of emergency food, meets the below income guidelines, participates in SNAP, WIC, FDPIR, CSFP or a child receives free/reduced meals at school.
This institution is an equal opportunity provider. You will not be asked for proof.
 
This table shows a gross income for each household size
Based on 200 Percent Federal Poverty Income Guidelines
Household Size Annual Monthly Weekly
1 $25,520 $2,126 $490
2 $34,480 $2,873 $663
3 $43,440 $3,620 $835
4 $52,400 $4,366 $1,007
5 $61,360 $5,113 $1,180
6 $70,320 $5,860 $1,352
7 $79,280 $6,606 $1,524
8 $88,240 $7,353 $1,696
For each additional family member add $8,960 $746 $172
Please tell us how you qualify for food assistance TODAY. We do not verify this or ask for proof. (Please check all that apply) *
Is this your first time coming to Active Faith? *
Paper Products (Choose 1)
If you are in need of Adult Protective Wear, please select size:
(0 remaining) (6 remaining) (10 remaining) (9 remaining)
(8 remaining)
Please indicate age of baby if you have one:
Diapers and Wipes (Please choose 1 diaper size and 1 baby wipes)
(4 remaining) (11 remaining) (10 remaining) (5 remaining) (10 remaining) (12 remaining)
Please choose type of Formula and Baby food if you need it:
(4 remaining)
(3 remaining)
Personal hygiene or cleaners: (Choose 1)
(1 remaining) (11 remaining)
(1 remaining) (14 remaining) (2 remaining)
(8 remaining) (18 remaining)
(12 remaining) (0 remaining)
Cleaning Supplies (Choose 1)
(15 remaining) (2 remaining) (1 remaining) (2 remaining)
(4 remaining) (1 remaining) (3 remaining) (1 remaining)
(2 remaining)
TEFAP Extras (Choose all you would like to receive)
Nuts (Choose 1)
(22 remaining) (26 remaining)
Tea, Coffee, Drink Mixes (Choose 1)
(1 remaining) (5 remaining) (12 remaining)
(0 remaining) (1 remaining) (0 remaining)
(0 remaining) (0 remaining) (3 remaining)
(6 remaining) (17 remaining) (12 remaining)
(0 remaining)
Miscellaneous (Choose 2)
(5 remaining) (0 remaining) (1 remaining)
(0 remaining) (4 remaining) (2 remaining)
(6 remaining) (1 remaining) (0 remaining)
(2 remaining) (0 remaining) (3 remaining)
(1 remaining) (0 remaining) (4 remaining)
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(1 remaining) (1 remaining) (1 remaining)
(4 remaining) (0 remaining) (0 remaining)
(0 remaining) (17 remaining) (29 remaining)
(7 remaining) (0 remaining) (6 remaining)
(0 remaining) (0 remaining) (8 remaining)
Mac/Cheese or Spaghettio's (Choose 1)
(2 remaining) (12 remaining)
Spaghetti Sauce
Tomato Products (Choose 2)
(14 remaining)
(0 remaining)
Pasta (Choose 2)
(6 remaining) (0 remaining) (2 remaining) (1 remaining)
(3 remaining) (1 remaining) (1 remaining)
(1 remaining) (17 remaining) (0 remaining)
Dry Soup (Choose 1)
(34 remaining) (3 remaining) (1 remaining) (0 remaining)
(1 remaining) (1 remaining)
Large Soups (Chosen at Random)
Canned Soup (Choose 2)
(1 remaining)
(1 remaining) (25 remaining) (9 remaining)
(0 remaining) 
Canned Fish (Choose 1)
(6 remaining) (7 remaining) (0 remaining) (2 remaining)
Peanut Butter or Jelly? (Choose 1)
(9 remaining) (64 remaining) (0 remaining)
Rice (Choose 1)
(19 remaining) (1 remaining) (9 remaining)
(2 remaining) (20 remaining) (0 remaining) (9 remaining)
(26 remaining) (0 remaining)
Canned Vegetables (Limited amounts) - Choose 1
(0 remaining) (0 remaining) (9 remaining) (4 remaining)
(9 remaining) (14 remaining)
Canned Vegetables (Choose 3)
(27 remaining)
(27 remaining) 
Canned/Dry Beans (Limited amounts) - Choose 1
(7 remaining) (5 remaining) (1 remaining)
(4 remaining) (8 remaining) (3 remaining) (2 remaining)
(1 remaining) (22 remaining) (1 remaining) (43 remaining)
(0 remaining)
Canned Beans (Choose 2)
 
Canned Fruit (Limited Amounts) - Choose 1
(0 remaining) (42 remaining) (14 remaining) (12 remaining)
Canned Fruit (Choose 2)
(40 remaining)
 
Canned/Pouched Meat (Choose 2)
(21 remaining)
(1 remaining) (37 remaining) (7 remaining)
Oatmeal (Choose 1)
(18 remaining)
Baking Mixes (Choose 1)
Shelf Stable Milk (Choose 1)
(0 remaining) (0 remaining) (48 remaining) (0 remaining)
Cereal (Choose 1)
(7 remaining) (5 remaining) (3 remaining) (8 remaining)
(5 remaining) (6 remaining) (5 remaining) (4 remaining)
(7 remaining) (1 remaining) (1 remaining) (19 remaining)
(11 remaining) (2 remaining) (6 remaining)
(2 remaining)
Crackers (Kids) (Choose 1)
(18 remaining) (7 remaining) (3 remaining)
(4 remaining) (3 remaining)
Beverages (Choose 1)
(16 remaining) (0 remaining) (32 remaining)
(0 remaining) (31 remaining) (34 remaining) (16 remaining)
Bread
(51 remaining) (25 remaining)
 
Powdered Eggs
(17 remaining)
Fresh Milk, Butter and Cheese (Choose all you would like to receive)
Perishables: (Choose 2)
(0 remaining) (67 remaining)
(86 remaining)
Frozen Meat (Choose 1)
(39 remaining) (0 remaining) (1 remaining) (49 remaining)
(0 remaining) (9 remaining) (3 remaining)
(32 remaining) (67 remaining) (1 remaining) (1 remaining)
(2 remaining) (3 remaining) (0 remaining) (34 remaining)
(39 remaining) (0 remaining) (18 remaining) (4 remaining)
(1 remaining)
Fresh Produce (Check yes or no) *
 

Please answer some general information about you and your household so we can serve you more efficiently. Filling it out now will save you time when you arrive at the pantry.

I provide written consent to record my information on a secure electronic database. (Only Active Faith staff will be able to view your individual account) *
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Language(s) spoken in the household (check all that apply): *
 
Ethnicity (check all that apply): *
 
Self Identifies as: *
 
Income Sources (check all that apply)
 

Additional Household Members (if any): This is very important so everyone can be counted.

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