Entity Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Name *

First Name

Last Name

Does your entity regularly receive palletized produce intended for free food distribution? *

Yes

No

Other. I'll use the message box below to describe.

Please let us know more about your entity's receiving capacity. *

Our entity regularly received deliveries from cold chain suppliers.

Our entity has onsite cold storage (i.e. walk in refrigeration) that can handle at least 3 pallets of produce at a time.

Our entity has an onsite loading dock.

Our entity has dedicated personnel to handle receiving.

Other. I'll use the message box below to describe.

Please let us know more about your entity's distribution capacity. *

Our entity distributes directly to the community through meal programs, grocery kit give aways or our free food marketplace.

Our entity distributes food to external CBO's and non-profits for their hunger relief programs.

Our entity subsidizes the distribution of free food through external entities.

Other. I'll use the message box below to describe.