Thanksgiving Basket 2023
As Thanksgiving approaches, we want to offer support to ensure everyone in our community enjoys a festive meal. If you could use assistance, please complete the attached Thanksgiving Food Assistance Request Form by 10/16. (We'll keep your information confidential and strive to meet your needs).   Baskets will be provided by the Roe Jan Food Pantry.  Contact Vernetta Moore at 413-446-9431 with questions (6:00 - 8:00 M - F).

If you have more than 10 family members in your household, then please complete the Form a second time to include the remaining family members.
Email *
Patron Name: *
Patron Address: *
Patron Phone Number: *
Family Members
How many family members are in your household? *
Family Member #1 Name: *
Family Member #1 Age: *
Family Member #2 Name:
 *
Family Member #2 Age:
 *
Family Member #3 Name:
Family Member #3 Age:
Family Member #4 Name:
Family Member #4 Age:
Family Member #5 Name:
Family Member #5 Age:
Family Member #6 Name:
Family Member #6 Age:
Family Member #7 Name:
Family Member #7 Age:
Family Member #8 Name:
Family Member #8 Age:
Family Member #9 Name:
Family Member #9 Age:
Family Member #10 Name:
Family Member #10 Age:
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