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Food Pantry Registration - Community Life Center
Community Life Center
Issues of Life Church Ministries Aurora
9725 E. Hampden Avenue, G-106 (Community Life Center) G-115 (Sanctuary)
Email:
communitylifecenter01@gmail.com
Pastor: Reverend Charlene A. Howard
FIRST COME - FIRST SERVE
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Email
*
Your email
Today's Date
*
MM
/
DD
/
YYYY
Is this your first time receiving food from The Community Pantry?
*
Yes
No
First Name
*
Your answer
Last Name
*
Your answer
Contact Phone Number
*
Your answer
Contact Address (Street, City, State, Zip)
*
Your answer
Pickup - 3rd Wednesdays ONLY each month
*
1pm-1:30pm
7pm-7:30pm
Number in the household?
*
1
2-4
5-7
Other:
A copy of your responses will be emailed to the address you provided.
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