Oilfields Food Bank Christmas 2024 Hamper Request

We provide hampers to folks who live in Diamond Valley, Longview, Priddis, Millarville and parts of the Foothills County - ONLY.

Please complete the information below to request your Christmas Hamper. When you are finished click on the Submit button to send us your form. You will receive an email confirming your request shortly after submitting.

If you do not receive an email, first check your Junk email folder. If it's not there, then try to submit a new request or contact the Food Bank at ofbhampers@gmail.com.

Hampers will be available for pickup on Thursday December 19th. You will get a phone call or email notifying you of your pickup time.

Name*

First NameLast Name

Phone Number*

Please enter your phone number.

Please enter both your street and mailing address. We want to confirm that we have your current address information in our records.

Address*

Street Address

Mailing Address (if different)

CityProvince

Postal / Zip Code

Email *

Confirmation EmailPlease enter your email twice - we check that the entries match to make sure we have your correct email address.

Is this your first time using this food bank?*

NoYes

How many people are in your household?

Number of Adults?*

Number of Children?*

Chicken or Ham in your Christmas Hamper?*

ChickenHam

Turkey, Chicken or Ham in your Christmas Hamper?*

TurkeyChickenHam

Number of People

Please make a selection above for your hamper.

Do you have any questions or comments about your Christmas Hamper?

Personal Information

Oilfields Food Bank keeps client’s personal information on file in a secure database. This information will not be disclosed to any third parties other than affiliated agencies or service partners that would reasonably expect it, except as required by law.

Please acknowledge that Oilfields Food Bank has your permission to store your personal information. *

You have my permissionI have concerns at this time

Please verify that you are human*

Date

Please correct any errors highlighted above.

Request a 2024 Christmas Hamper