PSALM 346 MINISTRIES · EASTON, PA

Food Assistance Request

Sharing the love of Christ with every delivery.

Tell us about your household. Our team will review your request and contact you about next steps.

Fields marked with an asterisk are required. Your information is kept private for our authorized team. How we use your information.

Already registered? Contact our team to update your information or ask about a delivery.

SECTION 01Contact information

First name *

Last name *

Phone number *A number where our team can reach you.

Email address *An email address where our team can reach you.

SECTION 02Home address

Street address *

Apartment or unit (optional)

City or community *

ZIP code *Pennsylvania · 18040, 18042, or 18045

SECTION 03Household & food preferences

Number of adults *Enter 0 if there are no adults.

Number of children *Enter 0 if there are no children.

Food allergies *List any food allergies in your household, or enter “None known”. Please tell our team if this changes.

I live in the Easton area. I agree that P346 may use these details to review my request and contact me. I understand that submitting this form does not approve or schedule a delivery. *

Our team will review your request before any delivery is approved or scheduled.

Food Assistance Request

Thank you for reaching out.