2020 Thanksgiving Basket Sign-Up Sheet

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Please provide us with the following information. You must fill out all required question and submit successfully to be added to the receiving list. Pick up will be Saturday, November 21st 10AM-4PM at the Livingston Food Pantry!

Last name: *

First Name: *

Email:

Phone Number *

Address :

Number of adults eating at Thanksgiving? *

Number of children eating at Thanksgiving ( ages 0- 18)

In our household there are children (click all that apply)

0-4 years old

in grades K-5

in 6-8th grade

high school aged

Which Organization Signed you up / Referred you? *

Seniors only (would you like delivery?):

Yes

Maybe

Clear selection

Any questions / comments?

Submit

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