Rachel's Table Food Bank Partnership Donation Form
Thank you for helping us to alleviate hunger and to reduce waste of our food resources in Western Massachusetts.
Rachel’s Table is a project of the Jewish Federation of Western Massachusetts.
Is this part of the Food Bank Partnership?
Are you a regular Rachel's Table food donor?
Big Y Foods, Inc.
Stop & Shop
Big Y Location
Westfield, 475 East Main Street
Westfield, 1 East Silver Street
Stop & Shop Location
East Longmeadow, North Main Street
West Springfield, 935 Riverdale Street
Please list items to be donated, including quantity of each item, and number of pounds.
Donation Type (Select all that apply)
Bread and Bakery
Dairy and Eggs
Meat and Protein
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.
Donor Valuation (Optional)
Is the donation perishable?
Is the meat frozen solid at pick up?
Is the meat frozen solid at delivery?
Is the produce ambient temperature at pickup?
If not ambient, temperature at pickup.
If not ambient, temperature at delivery.
Dairy-Temperature at pickup.
Dairy-Temperature at delivery.
Email receipt to
To be completed by driver or dispatcher
Bowen Center, The
Care Center, The
Center for Human Dev/Community Assessment Program
Community Survival Center
Companeras Women's Shelter
Girls Inc of Holyoke
Gray House, The
Greenwich/Open Pantry Teen Living Program
HAP Housing Wayfinders)
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)
Martin Luther King Jr. Community Center
Open Pantry Emergency Food Program
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 Food Pantry, Springfield
Shiloh Community Service Center
Springfield Housing Authority
Springfield Rescue Mission
St. Johns Friends' Place
Valley Opportunity Council
Worthington House (Friends of the Homeless
YMCA Greenfield Camp
If delivered to more than one location, describe: