This form must be received on or before Monday 5 p.m. for pick up on Thursday between 10 a.m. - 3 p.m.
Please check boxes next to items below totaling up to your allotted amount. YOU WILL NOT BE ASKED TO PAY FOR THESE ITEMS. THIS IS OUR GIFT TO YOU. (Prices are there solely for you to be able to total the weekly allotment from the Food Bank.)
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