Partner Form | The Storehouse

First Name

Last Name

Email Address

Phone Number

Please make one or more selections from the items below

QTY 10 - BAKED BEANS 15OZ CANS

QTY 15 - BEEF STEW 20 OZ

QTY 15 - BISQUICK PANCAKE MIX 28 OZ

QTY 8 - COOKING OIL 48 OZ

QTY 10 - HAMBURGER HELPER

QTY 15 - JELLY/JAM 18-32 OZ

QTY 10 - PINTO BEANS 15OZ CANS

QTY 10 - POTATOES (INSTANT)

QTY 8 - SALMON CANNED

QTY 10 - SUGAR 4LB

MISCELLANEOUS - FILL YOUR BAG WITH YOUR CHOICE OF NON-PERISHABLE ITEMS

QTY 10 - FRUIT (EXCEPT FRUIT COCKTAIL) 15 OZ CANS