Chanukah in-a-box Order Form
Jewish Family Service is proud to launch Chanukah in-a-box! Chanukah meals will be provided at no cost to those who are in need of a meal and unable to access food without assistance. Additionally, we will be taking orders for those who are not in need and would like to purchase a Chanukah in-a-box meal for $20/per box. Orders will be taken until 5PM on Monday, Nov. 30th or until supplies last!

Menu Options: Chicken Noodle Soup & Cranberry Sweet 'N Sour Meatballs (Non-vegetarian) OR Veggie Noodle Soup & the Impossible Meatball (Vegetarian)
Menu sides include: Challah Roll, Potato Latkes, Lemon Garlic Green Beans, Jelly Donut,

Please use the form below to place an order for Chanukah in-a-box:
Based on my situation, I would like to: *
How many meals do you need total? *
Please enter the product number
Of the total meals, how many vegetarian meals are needed? *
Please enter the product number
Contact info
This information will be used to contact you regarding delivery.
First Name *
Last Name *
Street Address *
Zip *
Primary Phone Number *
Alternate Phone Number
E-mail *
List any special delivery instructions below:
Would you like to be notified (via email) of volunteer opportunities?
Clear selection
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy