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FEED The Lehigh Valley
Food Assistance Request Form
If you're struggling and in need of food, please fill out this form and we will be in touch with you very soon!
Do you drive and/or have access to a vehicle? (If yes, please visit ProJeCt of Easton for assistance)
Yes
No
First Name
Last Name
Phone Number
Email
Address 1
Address 2
Country
City
State
Zip/Postal Code
Special Notes (food allergies, diabetes, etc.)
Submit
