Community Christmas Dinner
For more information please call Bella Ease at 217-209-0632.
First and last name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Number of family members attending with you:
*
Please Select
0
1
2
3
4
5
6
7
8
9
10+
If you are home-bound and need food delivered, please fill out the information below
Staff will follow up with you to ensure you meet the criteria for us to deliver food to you.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Number of plates requested
Submit
Should be Empty: