UAC Community Basket 08/15/2021

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Unified Asian Communities is partnering with local Southern Maine markets to put together Community Baskets. The Community Basket is inspired by the needs and suggestions of our community. With your input UAC will be able to put together baskets containing food, COVID-19 safety supplies, etc. UAC will provide 1 basket per household. The basket will be customized for each household depending on household size.

This is an interest form and also a suggestion form. Please fill out this form if you are interested in receiving this Community Basket; in addition, please leave a suggestion of what you would like to see in the Community Basket!

*Suggestions submitted on this form will be considered but NOT guaranteed.

UAC will reach out to you to confirm your pickup!

Pick Up will be on Sunday, August 15, 2021 at Payson Park in Portland from 11:00am until 12:30pm

First Name *

Last Name *

Phone Number *

Email Address

Size of Household *

1-4 People

5-8 People

9+ People

Total Household Income *

$0 - $10,000

$10,000 - $40,000

$40,000 - $70,000

$70,000+

What food items would you like to see in the Community Basket?

What other items would you like to see in the Community Basket?

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