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JFS Food Pantry Delivery Request
If you are able please attend curbside pick-up on Thursdays from 11am-4pm at the JFS Offices, 2245 S. State, Ann Arbor, 48104.
Please call us at 734-769-0209 ex. 6 or email at
foodpantry@jfsannarbor.org
with any questions or concerns.
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What is your full name (First and Last)?
*
Your answer
Are you an existing JFS client?
*
Yes
No
What is your street address?
*
Your answer
What is your Zip Code?
*
Your answer
What is your phone number?
*
Your answer
What is your email address?
Your answer
What is your date of birth?
*
MM
/
DD
/
YYYY
What race to you identify as?
*
This is used to inform funders of the demographics of the clients served.
Choose
American Indian/Alaskian Native
Asian
Black/African American
Multi-racial
Native Hawaiian or other Pacific Islander
White
Other
Undeclared/Unknown
Declined
What is your annual income?
*
This in no way affects whether or not someone is eligible for services and is captured only for demographic purposes for funders.
Choose
>10k
10k-25k
26k-50k
51k-75k
76k-100k
>100k
Declined
Unknown/Undeclared
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