UDF One-Time Food Rescue Request
Fill out this form when a one-time food rescue is needed outside of your normal weekly schedule. We will not use this form to change your existing rescues, but will use it to setup extra or one-time rescues.
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Store number and address *
Please list all locations separately
Store contact and phone number *
Date and time of requested pickup *
Please list approximate amounts of each type of food  to be donated (ie. 3 crates of milk/dairy, 2 boxes of sandwiches, etc.) *
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