Livestock Feed/Compost Application
If you are looking to be a recipient of Potluck Food Rescue for Livestock Feed and/or Compost please complete the application below. If you are looking to become a recipient agency for food for human consumption please complete our Agency Application on our website. This form is ONLY for Livestock and/or Compost recipients.
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Email *
Organization/Employer *
First and Last Name of Main Contact *
Business Name *
Address of the location where the livestock feed/compost will be primarily utilized. 
(Please include Street Address, City, State and ZIP code)
*
What kind livestock do you raise? 
What type of composting do you do? 
*
Contact Email *
Contact Phone Number *
Name of person who will be picking up donations (if different from above)
Are you a 501c3, church, school or similar organization?
(This will not affect application approval)
*
Please list any social media accounts associated with your organization so that we can share and promote our partnership.
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