Potential agency partner application form

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This form must be completed and all files requested must be uploaded for consideration to become an agency partner. We can only accept applications from organizations located in Sarasota or DeSoto counties. If you are not in these counties, please do not complete this application, and instead visit Feeding Florida to find your local food bank.

Please allow up to five business days for a response.

Date: *

YYYY

Organization name *

Organization address *

Food storage/distribution site address (if different from above)

Primary contact person *

Phone number (xxx-xxx-xxxx format) *

Email address *

Do you currently operate a food distribution or feeding program? *

Yes

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