Cocoa Packs Food Rescue Partner Intake Form
We look forward to meeting with you soon! Please answer the following questions about your site. Together, we will be creating a custom Food Rescue plan that works for you.  Thank you for helping us fight childhood hunger, one <3 at a time!
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Email *
Location Name *
Primary Contact *
Preferred Method of Contact *
E-mail *
Phone Number *
Address of your location for GPS purposes *
Instructions for where to park/pull-up when arriving at the location for pick up *
Anticipated Donation Food Types *
Anticipated Rescue Schedule
Please select all that apply
Morning
Midday
Evening
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Any other comments and/or questions?
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