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Your information


Required fields are marked with an asterisk (*). One of the fields below is a file upload/attachment, the file size must be less than 10MB.

some file

The total size of any/all file uploads must be less than 10MB
*

*


A valid date as MM/DD/YYYY (for example: 11/30/2015)

*

For example, 123-456-7890
SMS (text) messaging:
You may opt-in to receive SMS (text) for ABC Food Pantry volunteer activities, including shift reminders and cancellations.

To opt-out, reply STOP to any SMS message OR update the SMS opt-in setting in your profile.
Do you accept the Special Waiver? *
*

*
*
pick & many







*
*
Please donate to offset shirt costs


A valid date as MM/DD/YYYY (for example: 11/30/2015)

Is anyone volunteering with you?
Don't count yourself, this is the number of people you are bringing.
Select the additional volunteers attending with you:


Have a comp/discount code? Check it here: Check code

The credit card will be charged $5.00.

IMPORTANT NOTE: Entering your complete credit card information into this form will immediately trigger a temporary authorization equal to the amount indicated above. If you abandon this application before submitting it, the hold will persist until you contact us.

Cardholder name
Card number
Expiration
/
CVV

Credit cards are processed using a 3rd party credit card processor called Stripe (stripe.com). When you submit your credit card information, it is sent directly to Stripe for processing. This website does not receive nor store your credit card information. This website stores a Stripe reference number which is only used to process charges and/or refunds. Learn more about Stripe's security at https://stripe.com/help/security. We use an industry standard protocol called Secure Sockets Layer (SSL) to secure commerce transactions. It encrypts all the information you submit so that it cannot be read over the internet.

Who is this registration for?

Waiver for Food Pantry Opportunities

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