Clay Church Food Pantry Order Form

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Clay Church Food Pantry Order Form

FYI: We can ONLY deliver to St. Joe County Residents

(Some Items may be unavailable and will be substituted)

At least 10 Items need picked or the order will not be filled!

WE ONLY SERVE ONE PERSON PER HOUSEHOLD, ONLY 1 TIME PER MONTH. (Form 1)

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* Indicates required question

Email *

Your email

First Name *

Your answer

Last Name *

Your answer

Address *

Your answer

City *

Your answer

Zip Code *

Your answer

Phone # *

Your answer

Birthdate *

MM

/

DD

/

YYYY

Number in Family *

Your answer

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