Donor Intake Form — Loisaida CommUnity Fridge and Pantry

Hi! Thank you for considering a donation to the fridge/pantry, located at 602 E 9th St, New York, NY, outside of Trinity LES on 9th Street and Avenue B. Our fridge is open 24/7, with the goal of aiding local food pantries and soup kitchens in alleviating neighbors' food insecurity, while also reducing food waste in the East Village/Lower East Side. We operate with a "Take What You Need, Leave What You Can" ethos. Please fill out the information below, and we will be in touch with you as soon as possible.

Name of Your Organization/Business

Your Name

Phone Number

Is this donation one-time OR recurring on the same day(s) each week until further notice?

Donation Method

Drop Off: Someone from your org will bring to the fridge on 9th and B Pick Up: A volunteer will pick the food up at your address and bring to the fridge

Items Being Donated

We will take whatever donations you have to offer, but ideally looking for fresh, healthy foods. Dry goods are also accepted. The description below does not have to be exact, as we know the amount can vary week to week, but just to give us an idea of whether or not we should have a volunteer show up with a cart, etc.

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Anything else we should know?

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