Food Box Request Form
PLEASE READ FOR IMPORTANT INFO!! - We are so pleased to be able to assist families in need in the DOTHAN AREA with a box of food once a week on Thursdays. To be added to our REQUEST list, simply fill out the form below before 12pm (noon) on Thursday. (THIS FORM MUST ONLY BE SUBMITTED ON THE THURSDAY YOU ARE REQUESTING A BOX. ANY FORM SUBMITTED ON A DIFFERENT DAY, OR ON THURSDAY BUT AFTER NOON, WILL NOT BE CONSIDERED.) Once submitted, you'll receive a confirmation of your submission. Then, between noon and 1:30pm, you'll receive a text from Dothan 1st either confirming your food box and how to pick it up, or you'll receive a text letting you know that we didn't have enough food boxes that day. Thank you and God bless ~ Dothan 1st
Is today Thursday, before noon? You may only request a food box on Thursdays each week. All other submissions will not be considered. Do you want to proceed?
Yes, it is Thursday and I want to proceed
No, I'll wait till Thursday
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Be Aware:
If it is NOT Thursday before noon, we are UNABLE to consider your submission, furthermore no communications will be made. Thank you for your understanding and your compliance!
Name
*
First Name
Last Name
Email
example@example.com
Cell Phone Number
*
Please enter a valid CELL phone number. We will need to use this number in order to send you a text confirming you can pick up a food box, OR TO LET YOU KNOW THAT WE DIDN'T HAVE ENOUGH.
How many people live in the household?
Prayer Requests & Comments:
If you have other needs and in case we are unable to provide a food box for you, please refer to the document below for a list of area resources which may be able to assist you.
Submit
Should be Empty: