Clay Church Food Pantry Order Form

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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 are now limited to only 50 Door Dash orders for Delivery on ONE Day, your order will be delivered on the next available opening day.

We need a FULL Phone Number and Birthdate or your order will NOT be processed!

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

Email *

Are you disabled? *

Yes

First Name *

Last Name *

Address *

City *

Zip Code *

Phone # (Full number required for delivery) *

Birthdate *

YYYY

Number in Family *

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