Blessings of Hope Online Application
 
Blessings of Hope Online Application
Thank you for your interest in Blessings of Hope. Please note there is only one box per household. Everyone who receives a box of food must fill out a registration form (whether online or in person). Orders MUST BE received by Monday of the week of delivery in order to receive the current food box. You may divide your box as you see fit; however, please understand you are responsible for the proper handling of the food once it leaves our premises.
Name  * 
Number in your family  * 
Address  * 
Phone Number  * 
How did you hear about this ministry?
I understand that the food given is prepackaged and may include out of date, or near out of date, items. I acknowledge it is my responsibility to check the food that is given to me to ensure it is acceptable for consumption. Please enter your name to indicate your acceptance of this statement.  * 
For questions or if you are unable to pick up your box this month, please contact Joanna Martin at (717) 654-1141.
I further understand that if at any time I do not pick up my food box, or notify the director that I am not able to pick up on the designated day of the month, my order will be terminated until I communicate with the director of the ministry. Please enter your name to signify you have read, understand and will comply with this statement.  * 
Your Email Address  * 
 
 
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