Bethany's Bounty Meal Request
Please fill out this form and click submit.
Please allow at least 2 days from current date for communications
Name of submitter
Name of who needs meal
Contact info of who needs meal (phone, email)
Preferred method of communication (email, text, phone)
Address of who needs meal
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Special instructions of how to find home
Where to deposit food (front porch, back porch, etc)
Other special instructions (beware of dog, only call at a certain time, etc)
Date Needed
Feeding how many people
How many meals needed
Allergy info and/or concerns (likes, dislikes)
Reason (including has covid or other transmittable disease to protect deliverer)
Submit
Description
Please fill out this form and click submit.
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