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* 1. Provide the business/organization contact and location information here. We will use this address to map your location. 

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* 2. If the name of the pick up location is different from the name provided above, please indicate the name of the pick up location here.

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* 3. Describe what is being provided and how here. Specify whether you are providing pick up or delivery services. 

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* 4. What days of the week and hours are the resource(s) being provided.

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* 5. What is being provided? At this time we are only listing food resources.

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* 6. How many meals do you think can be provided on a daily basis?

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* 7. If you have a link for more information, please paste that link here.

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* 8. Is there a specific target audience? If so, please check the boxes below.

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* 9. Provide contact information for the person completing this form here.

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* 10. Provide any additional comments or explanation regarding your responses here.

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