This form is now closed.
If you need to place an order for January 2 or 3, please contact Kellie Finley-Call at kfinleycall@mannafoodbank.org or 828-357-7820. If you need to place an order for January 6-31, please use the January Order Form: https://form.jotform.com/243383765088165
Agency
*
Partner Number
Partner Name
Agency Contact Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number (Best number for texting)
*
Please enter a valid phone number.
Do you have any specific requests for food or non-food items? (E.g. mixed food boxes, canned goods, cleaning supplies, paper products, etc.) While we will do our best to fulfill any requests, all requests are subject to availability.
Please select the number of pallets you would be able to pick up:
prev
next
( X )
Dry Goods
Shelf stable food
$
Free
# of Pallets
1
2
3
4
5
6
Perishables
Produce, fridge stored foods, etc.
$
Free
# of Pallets
1
2
3
4
5
6
Water
$
Free
# of Pallets
1
2
3
4
5
6
Non Food Items
Household products, diapers, pet food, etc.
$
Free
# of Pallets
1
2
3
4
5
6
Pre-Built Order
Please note we will do our best to fulfill your order as requested, items are subject to availability.
Please select which weeks you would like to pickup your pre-built MANNA order:
January 2 - 3 (No pickups December 30 - January 1)
Should be Empty: