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DC FOOD PANTRY FORM

DC Food Pantry Distribution Signup Form

DC Food Pantry Distribution Signup Form

Please complete this form to reserve a timeslot to come to the DC Food Pantry to pickup you food distribution. Once we have your time, we will call you to come pickup. If you do not answer, we will leave you a message with this information.

FOOD PANTRY SIGNUP

Name
Name
First
Last
Address
Address
Address Line 1
Address Line 2
City
State/Province
Zip/Postal
Country
Is anyone in your household Native American?
Is this your fist time you received food?

2212 SW 55th St
Oklahoma City, OK 73119

Email:  info@dcokc.org
Phone: 405-634-2615

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