Bridge Pantry Donation FormPlease complete this form so we can coordinate your donation and provide a receipt. We accept dry, shelf‑stable goods only.Donor/OrganizationContact Person(Required) First Last Email(Required) Enter Email Confirm Email Phone(Required)Items & Approx. Quantities(Required)Delivery Method(Required)Drop Off (During Business Hours)Pickup (Within 15 mile radius)Pickups must be arranged beforehandDate(Required) Select Preferred DateAddress(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Must be within 15 miles of 2714 Cypress Point Dr, 77459, unless clearance is received from admin.Notes (packaging/pallet/special handling)Value of Donation(Required)Please provide the value of the donation you submitted so that we can provide a receipt.Confirm(Required) Items are sealed, labeled, in good condition, and within date.
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