Request for Pick-up
Please fill out this form to schedule a pick-up for your donated product.
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Date (Ex. 01/01/06):
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Name of Organization or Business:
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Address for Pickup:
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City:
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Zip Code:
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Contact Person:
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Phone (Ex. 602-352-3640):
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Email Address:
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=Required Field
Do you have frozen or refrigerated items?
Quantity
Pallet(s)
Case(s)
How would you like to recieve confirmation? Email
Phone Call
Special Instructions:
Thank you for donating to St. Mary's Food Bank Alliance. Your donations will be used in compliance with the following:
Your donated items will not be sold, transferred or bartered for money, other products or services.
The Food Bank releases the donor mentioned above from any liability resulting from the condition of donated products pursuant to the Federal 'Bill Emerson Food Samaritan Food Donation Act'.
Your donated products will be used as soon as possible to ensure greatest quality and freshness.
Your donated items will be used only in a manner related to the exempt purpose of the donee organization. This complies with the provisions of clause (i) and (ii) of section 170(e)(3) of the Tax Reform Act of 1976. Our records are available to the IRS upon request.
Your donated items will be distributed only to donee organizations who have legally executed a form of release which is on file at the Food Bank. The forms are available for your inspection.
