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Rachel's Table Food Bank Route Form, Updated 11-23
Thank you for helping us to alleviate hunger and to reduce waste of our food resources in Western Massachusetts.
Rachel’s Table is a program of the Jewish Federation of Western Massachusetts.
Is this part of the Food Bank Partnership?
Yes
No
Date
*
MM
/
DD
/
YYYY
Are you a regular Rachel's Table food donor?
*
Yes
No
Food Donor Name
*
Please select
Aldi's
Amherst College
Bethany Assembly of God
Big Y Foods, Inc.
C & S (Hatfield)
Cumberland Farms
Food Bank of WM
Save-A-Lot
Stop & Shop
Other
Aldi's Location
Please select
Hadley, 354 Russell St. (Rt. 9)
Westfield, 235 E. Main St.
Big Y Location
Please select
Amherst, 175 University Dr.
Fresh Acres, 1941 Wilbraham Rd.
Northampton, 136 N. King St.
Springfield, 300 Cooley St.
Springfield, 1090 St. James St.
Westfield, 475 East Main Street
Westfield, 1 East Silver Street
Wilbraham, 2035 Boston Rd.
Southwick, 195 College Highway
Stop & Shop Location
Please select
East Longmeadow, North Main Street
Springfield, Boston Rd.
West Springfield, 935 Riverdale Street
Cumberland Farms Location
Please select
East Longmeadow, North Main Street
Springfield, 798 Carew St.
Springfield, 514 Belmont St.
West Springfield, 935 Riverdale Street
Other Location
Donation Type (select all that apply)
*
Bread & Bakery
Dairy & Eggs
Prepared Foods
Non-Perishables
Produce
Meat & Protein
Non-Food Items
No Donation
Donation Description
Weight Equivalencies
Heavy produce box = @50 lbs.
Light produce, bread, baked goods = @15 lbs.
Bag of bread, baked goods = @3 to 5 lbs.
Other boxes (not labelled) = @25 to 30 lbs.
Pounds: Bread & baked goods
Pounds: Dry Goods (includes room-temperature beverages)
Pounds: Produce (whole, room-temperature)
Pounds: Non-food items
Pounds: Dairy (includes ice cream/frozen dairy)
Pounds: Assorted Refrigerated food (includes pre-cut produce)
Pounds: Frozen Meat
Pounds: Assorted Frozen food
Is the Produce refrigerated at pickup?
Yes
No
Produce temperature at pickup.
Produce temperature at delivery.
Is the Dairy frozen?
Yes
No
Is the frozen Dairy frozen solid at pick up?
Yes
No
Is the frozen Dairy frozen solid at delivery?
Yes
No
Dairy-Temperature at pickup.
Dairy-Temperature at delivery.
Assorted Refrigerated Food-Temperature at pick up.
Assorted Refrigerated Food-Temperature at delivery.
Is the Meat frozen solid at pick up?
Yes
No
Is the Meat frozen solid at delivery?
Yes
No
Is the Assorted Frozen food frozen solid at pick up?
Yes
No
Is the Assorted Frozen food frozen solid at delivery?
Yes
No
Donor Valuation (Optional)
$
Dollars
Email receipt to
Delivered to
*
All Nations Church of God
ALIANZA
Amherst Survival Center
Behavioral Health Network
Bethany Assembly of God
Bowen Center, The
Boys & Girl Club, Chicopee
Care Center, The
CHD/Not Bread Alone
Center for Self-Reliance Food Pantries
Christina's House
Community Assessment Program
Community Survival Center
Companeras Women's Shelter
Dream Center
Educare
First Baptist Church of Amherst
Forum House
FCCMP
Gandara Addiction Center
Gandara Family Resource
Girls Inc of Holyoke
Gray House, The
Greenwich/Open Pantry Teen Living Program
HAP Housing Wayfinders)
Hairston House
TH Harm Reduction - Greenfield
TH Harm Reduction - Northampton
High St. Adult Medicine
Highland House
Home City Pantry
Eleanor B. Jenkins Memorial Soup Kitchen
Jewish Family Service
Kate's Kitchen & Loreto House
La Voz/Tapestry Health
Loaves and Fishes Soup Kitchen
Longmeadow Adult Center
Lorraine's Soup Kitchen and Pantry
Macedonia Church of God in Christ
Main Street Shelter (Valley Opportunity Council)
Manna Soup Kitchen
Massachusetts Militray Support Foundation
Margaret's Pantry
Martin Luther King Jr. Community Center
Michael J. Dias Foundation
Northampton Survival Center
Not Bread Alone
Oasis Food Pantry
Open Pantry Emergency Food Program
Our Community Food Pantry - Southwick
Our House-Domus
Parish Cupboard
Phoenix House Springfield Center
Project Hope Pantry House of Refuge Church
Ronald McDonald House of Springfield
S.M.A.R.T. Food Pantry
Salvation Army Food Pantry, Greenfield
Salvation Army Food Pantry, Holyoke
Salvation Army Rehab, Liberty St
Salvation Army Food Pantry, Springfield
Samaritan Inn
Senoirity House
Shiloh Community Service Center
Springfield Housing Authority
Springfield Rescue Mission
Square One
St. Johns Friends' Place
Stone Soup Cafe
Thrive Center at HCC
United Way Pioneer Valley
Valley Opportunity Council
Victory Temple
Wayfinders
Westfield Food Pantry
Worthington House (Friends of the Homeless
YMCA Greenfield
YMCA Greenfield Camp
Other Agency
No Donation
Other Agency Name
Was the donation delivered to more than one Agency?
Yes
No
If delivered to more than one Agency, list Agencies:
Dispatcher
Driver
*
Other Notes
