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Schedule your food drive!
Complete this form and return to: Tri-State Food Bank, 801 E. Michigan Street, Evansville, IN 47711. Fax: 812-425-0776 or email [email protected]
Organization Name: _____________________________________________________________
Address: ______________________________________________________________________
City, State, Zip: ________________________________________________________________
Contact Person: ________________________________________________________________
Phone: ____________________________Email: ______________________________________
Dates of Food Drive: ____________________ to ______________________________________
Number of barrels needed: __________________
Requested barrel delivery date: _______________ Requested date for pickup: _____________
*Please contact Steve Marchand at 812-425-0775 to confirm your food pickup date for food drives over 200 pounds (more than one barrel). If you collect less than 200 pounds, please deliver the food to Tri-State Food Bank to help us save on fuel costs.
Notes:_________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Address where barrels are to be delivered (if different from above, or multiple locations).
Also deliver one to the above address? Y N
Location 1: ____________________________________________________________________
Location 2: ____________________________________________________________________
Location 3: ____________________________________________________________________
Questions? Contact Steve Marchand at 812-425-0775 or [email protected]
TO
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most
needed
items
peanut
butter
soup
canned
fruit
beans
rice
tuna
cereal
fruit
juice
pasta
canned
vegetables
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9
10
8
7
5
4
6 3
2
10
