Redistribution Community Partner Request Form Please fill out this form to request specific items for the following week (Mon–Fri). If you have any questions or issues with this form, please contact The River's Community Coordinator, Amanda Prusak, at 608-665-0232 or amanda@riverfoodpantry.org.Your InformationName:(Required)Email:(Required)Phone:(Required)Organization/Agency:(Required)This Week's DistributionIf you have served/distributed product from The River this week, please use this space to report individuals and/or households served.Number of IndividualsTotal number of individuals who received product from The River through your organization this weekNumber of HouseholdsTotal number of households who received product from The River through your organization this week. If you do not record households served, leave blank.Needs for Week AheadStarting February 1st, we will not be able to provide dry goods to Community Partners. We are sorry for the inconvenience.Please share the products you hope to receive next week, as well as quantities when possible. Feel free to be specific in your requests, but know that The River will not necessarily be able to offer exactly what you request. When we do not have exact matches in stock, we will do our best to find a close substitute.Number of Individuals you expect to serve(Required)Do you need any fruits or vegetables?(Required) Yes No Fruits and Vegetables RequestedDo you need any perishables/refrigerated items?(Required) Yes No We are not able to accommodate meat at this time.Perishables/refrigerated items requested:Do you need bakery or bread items?(Required) Yes No Bakery/bread items requested:Do you need any drinks or candy?(Required) Yes No Drinks or candy items requested:Do you need non-food items (clothing or housewares)?(Required) Yes No We are only able to provide clothing or houseware (pots, pans, tubber ware, blankets etc.) items currently. We are not able to provide cleaning or personal hygiene items.Non-Food items requested:Please list the date and time for your request:(Required)If this is a delivery, write delivery in the box.Thank you!Please click "submit" to enter your information. Amanda will receive an email with your responses and will try to get every item requested. Δ
