Food Pick Up Scheduling Form

Food Pick Up Scheduling Form
Once you complete your food drive, you may deliver donations to the Food Bank located at 1304 N. Kenosha Avenue between the hours of 8:00 a.m. and 4:00 p.m., Monday through Thursday, or from 8 a.m. to noon on Friday. If you collected more than 500 pounds (5 full boxes) of food, please complete the form below to have a Food Bank truck pick up the donations.
Group name (if applicable)
Contact name*

First NameLast Name
Contact email*
example@example.com
Contact phone number*
Please enter a valid phone number.
Pick-up location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Days and times available for pick-up*
Additional information and special instructions
Should be Empty: