Contact Person *

First Name

Last Name

Contact Person Phone *

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Shelf Your Group Wants to Adopt (You can select more than one)

Adult Diapers, i.e. Depends

Canned Peaches

Canned Pears

Maple Syrup/Pancake Mix

Gluten-free Pasta

Shampoo and Conditioner

Diced Tomatoes

Olive Oil

Laundry Detergent

Toilet Paper

Vegetable Oil

Gluten Free Cake Mix/Frosting

Cake Mix and Frosting and Bday Candles