Buckingham Food

Canada-Wide Verified Food Bank Supply Program

A 12-month committed low-MOQ planned supply subscription program for verified food banks across Canada.

Built for smaller food banks that cannot purchase or store pallets.

Each subscription shipment includes 40 pouches of 500 g and is delivered Canada-wide. Food banks may choose one or multiple subscription lines based on their capacity and program needs.

Subscription Pricing

Product Option	Weekly	Bi-weekly	Monthly
Long Grain White Rice — 40 pouches	$39.99	$40.99	$41.99
Mixed Rice — 20 White Rice + 20 Parboiled Rice	$40.99	$41.99	$42.99
Dry Chickpeas — 40 pouches	$44.99	$45.99	$46.99
Rice + Chickpeas Mix — 20 Rice + 20 Chickpeas	$43.99	$44.99	$45.99

Pricing is per shipment and includes Canada-wide delivery.

Organization Details

Food bank / organization nameLegal registered nameCharity / nonprofit registration numberWebsiteProvinceMain service areaFood Banks Canada member statusProvincial food bank network status

Top 3 Food Bank Contacts

Please provide three key contacts so there is always an alternate person available if one or two contacts are away.

Contact 1

Full nameTitleEmailPhoneExtension, if availableCell number, if available

Contact 2

Full nameTitleEmailPhoneExtension, if availableCell number, if available

Contact 3

Full nameTitleEmailPhoneExtension, if availableCell number, if available

Delivery Details

Delivery address

Receiving hoursDock available?Can receive courier / small parcel deliveries?

Special delivery instructions

Choose Subscription Options

You may choose one or multiple subscription options. Each subscription line has its own product, frequency, and shipment schedule.

ProductFrequencyUnits of 40 pouches

$39.99

per shipment

Current combined shipment total: $39.99

Final schedule and first delivery date will be confirmed by Buckingham before activation.

Payment Authorization

Download and Complete PAD Authorization Form

Please download the Buckingham Business PAD Authorization Form, complete it, sign it, and upload the signed copy below with your application.

Download PAD Authorization Form

After signing the form, please upload the completed copy in the Signed PAD / payment authorization form upload field below.

Please provide bank debit authorization details. Your account will only be debited after shipment dispatch. Debit will be scheduled 3 days after each parcel is dispatched.

Account holder nameBank nameInstitution numberTransit numberAccount numberAuthorized signer nameAuthorized signer title

Signed PAD / payment authorization formVoid cheque, if availableI authorize Buckingham Home Inc. / Buckingham Food to debit the bank account provided for approved subscription shipments, 3 days after each shipment is dispatched.

Required Confirmations

I understand this is a 12-month committed planned supply subscription program.I confirm this program is for food bank / charitable food-distribution use and not for commercial resale.