EmailMeForm
2025 Holiday Assistance Food Request
If you are in need of assistance with food for the holidays, please complete the fields below.
Membership Status
*
Please select
Member
Non-Member
Are you requesting for you or someone else?
*
Please select
Myself/My Family
Someone else
Name of person needing assistance:
*
First
Last
Email of person picking up:
Phone# of person picking up:
*
###
-
###
-
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Would you like a turkey? (Limited number/While supplies last)
Yes
No
**Items must be picked up from Word of Restoration at 7620 FM 521 in Rosharon, TX 77583 during the designated time only.
(Please select your preferred date and time for pickup below.)
I commit to picking up my items on the time slot listed below:
Please select
Thurs. Nov. 20th | 8:30 am - 4:30 pm
Fri.. Nov. 21st | 8:30 am-12:00 pm
Sat. Nov. 22nd | 8:30 am-12:00 pm
Mon. Nov. 24th | 8:30 am-4:30 pm
Number of adults in your family (18 and up):
Number of children in your family (under the age of 18):