Food Shelf Order Form

Name *

First Name Last Name
Phone Number - we will call you when your order is ready. *
Please enter a valid phone number.
Does the food shelf have your current address? *

Yes No

This food shelf serves the members of St. John's Church and residents of the Mounds View School District.
Are you a member of St. John's parish? *

Yes No

Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number - we will call you when your order is ready. *
Please enter a valid phone number.

This food shelf serves the neighbors of St. John's who live in the Mounds View School district.
Do you live in the Mounds View School District? *

Yes No

Sorry, you do not qualify for our food shelf since you do not reside in our service area.

Call 211 in the Metro Area for information on food assistance or other needs.

St. John's Food Shelf Order Form

Completed orders need to be received by close of day on Sunday, Tuesday or Thursday for pick up the following day.

In the box beneath an item, indicate how many you would like of that item.

You are limited to 40 food items and 10 non-food items. A quantity limit is indicated on some items.
Since the food shelf is dependent on donations from parishioners, some items will be out of stock at different times. Will you accept a like substitute if a chosen item is out of stock?.

Yes No

Total number of food items selected
You have selected more than 40 items. Please remove any items over 40 and then submit the form when ready. Thanks.
Total number of non-food items selected
You have selected more than 10 items. Please remove any items over 10 and then submit the form when ready. Thanks.
I will pick up my food on this day: *

Monday ( 12 PM to 8 PM ) Wednesday ( 12 PM to 8 PM ) Friday (12 PM to 8 PM
Comments:
Your order can be picked up at

St. John the Baptist Catholic Church

835 2nd Ave. NW

New Brighton MN 55112

Enter door 13 on the east side of the church and facing 1st ave. You will find a food pick-up table to your left just inside the entrance.

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