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Fields
Tell us about yourself
Full name
*
Email
*
Phone number
*
About your Organization
Organization name
*
What does your organization do?
*
Questions about organization
Is it a 501c3 nonprofit?
Will food donations go to those in need?
Organization contacts
Are you the organization’s primary contact?
Are you the organization’s primary contact?
Primary contact name
*
Primary contact phone number
*
Organization details
Organization street address
*
Address
*
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands (US)
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (the) Americas
Armed Forces Europe
Armed Forces Pacific
Army Post Office (U.S. Army and U.S. Air Force)
Fleet Post Office (U.S. Navy and U.S. Marine Corps)
State
ZIP Code
Phone Number
*
Delivery location
Is the organization’s address the same address as where the food donations go?
Is the organization’s address the same address as where the food donations go?
Location address 1
Are there any onsite instructions we should know about when drivers arrive to drop off food donations?
About the delivery
What days of the week do you operate?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Business hours
From 9:00 am to 12:00 pm
From 1:00 pm to 5:00 pm
Delivery hours
From 9:00 am to 12:00 pm
From 1:00 pm to 5:00 pm
Do you have drivers that are able to pickup food donations?
Do you have drivers that are able to pickup food donations?
Please add all drivers contact info
Full name
Phone number
Availability to pick up food
Food preferences
Checkbox
Do you accept perishable food donations?
Do you accept prepared hot food or meals?
Do you accept prepared cold food or meals?
What are your top 3 food needs
Vegetables
Snacks
Fruits
Bread
Condiments
Pasta/Rice
Meat
Dairy/Milk/Eggs
Water/Beverages
Baked goods
Canned goods
Breakfast
Any other foods you prefer?
Any foods you cannot accept?
Storage capacity
Can you accept palletized size donations?
Can you accept palletized size donations?
Refrigerators on site
Refrigerator capacity (sq feet)
Freezers on site
Freezer capacity (sq feet)
Dry goods capacity (sq feet)
Is there anything else we should know about your storage capacity to accept food donations?
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