Please fill out this form if you would live to provide a holiday meal for a family:

Your Name (required)

Your Organization

Address (required)

City (required)


Zip Code (required)

Phone (required)

Your Email (required)

Do you speak Spanish?
 Yes No

Have you participated in the Holiday Giving Network before?
 Yes No

Number of families you’d like to provide a meal for:

For Thanksgiving

For Christmas

Area of county you are willing to serve:
(Please be flexible. We will accommodate the best we can, but are not always able to match exactly to your preferences).

Family size preference:
 Single Small (2-4 people) Medium (5-6 people) Large (7+)

Some providers substitute gift cards in lieu of actual food. Are you planning on doing this?
 Yes No

Although it is not a requirement, some providers like to add toys/gifts as well. Are you planning on doing this?
 Yes No

Additional Information

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