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BLESSING
FOUNDATION
Reg. No. – 436
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Daily Food Donation Form (Restaurants)
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Contact Name
*
Contact Phone
*
Restaurant Name
Restaurant Phone
Restaurant Address
Address Line 1
Address Line 2
City
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Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
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South Carolina
South Dakota
Tennessee
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Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
How Much Can you Donate?
5 - 10
20 - 50
50+
Comment
Submit
Daily Food Donation Form (Individuals)
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Contact Name
*
Contact Phone
*
Pickup Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
How Much Can you Donate?
5 - 10
20 - 50
50+
Email
Submit
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