Food Box Donation
Online Order Form
My Products
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( X )
Food Box
$
20.00
Each box includes beans, rice, flour, bread and sugar. One box feeds one family.
Quantity
Item subtotal:
$
0.00
Total
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Email
example@example.com
Back
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Personal message to include with your box(es):
Optional
Place My Order
Should be Empty: