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GOD IS_______ ! FOOD PANTRY

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God is________! ONLINE FOOD REQUEST ASSISTANCE FORM

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Delivery Address*

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Day

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Gross Income Per Household*

Phone*

ACCEPTABLE FORM OF VERIFICATION: Utility or Lease bill: Dated Within 60 Days*

ACCEPTABLE FORM OF IDENTIFICATION: (ID Card; Passport; Library Card; Credit/Debit Card*

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God is LLC

P. O. BOX 16991

GALVESTON, TEXAS 77552

1-855-350-0341

mygodis@att.net

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Registered Charity Number : 26053436001755

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