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2021 Food Basket
Shopping Check List
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Family Name:
*
Your answer
Preferred Contact Method
*
Phone
Email
Email:
*
Your answer
Phone Number
*
Your answer
Family Size: Number of Adults and Number of Children
*
Your answer
Store that you normally shop for groceries:
*
Kroger
Meijer
Walmart
Save-a-lot
Aldi
Giant Eagle
Click the box of the item you are requesting.
*
Mac and Cheese
Boxed Potatoes
Cake Mix
Frosting
Oats
Cranberry Sauce
Dry Noodles
Canned Sweet Potatoes
Peanut Butter
Ramen Noodles
Crackers
Soup
4 Pack Toilet Paper
Paper Towels
Napkins
Stuffing
Snack
Honey
Poptarts
Cereal
Juice
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