Food Bank or Pantry Nomination Form

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Nominate a food bank or pantry in your area to receive a new dairy cooler! Submit the name and contact information for the organization that needs an upright refrigerator to expand or sustain their dairy-giving ability.

We are proud of what our farmers do to give back to their communities, and want to join that work with organizations securing dairy foods for those who need them most. We want to show the importance of providing nutritious dairy and thank food banks and pantries for their efforts in fulfilling that mission. We hope this unit will allow them to continue the great work they are doing and expand their abilities to serve area clients.

The cooler will be awarded to qualifying locations by the order it is received by ADAI staff. Nominations are assessed throughout the year, and awarded based on need + availability.

For questions on this project please contact Allie Rieth at 317-842-3060 or Rieth@WinnersDrinkMilk.com

Atosa 21.4 cu. ft. reach-in refrigerator (or similar)

What is YOUR name? *

What is YOUR email address? *

What is YOUR phone number? *

Food bank or pantry name? *

Point of contact name at food bank or pantry? *

Address of food bank or pantry *

Phone number of food bank or pantry? *

County of food bank or pantry? *

If your location is chosen, are you willing to be onsite at the food bank/pantry when the cooler is delivered? *

Yes

Maybe

Other:

Submit

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