Printed fromShalomfoodpantry.com

ב"ה

Rosh Hashanah Distribution

This form is currently closed.

The Shalom Food Pantry is holding a special Pre-Rosh Hashanah Distribution on Monday, August 31, 2026 from 3-5 p.m. This is for pick up only. If you have any questions please reach out to Ali directly at [email protected]

Form closes at 8 p.m. on Wednesday, August 26.
Full Name*
First Name Last Name

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail*
Phone Number*
How many members of household are 0-17?
How many members of household are 18-64?
How many members of household are 65+?
Monthly Income

Less than 500500-1,0001,000-2,0002,000-3,0003,000-4,0004,000-5,000
This form is currently closed. To submit a request, please reach out to [email protected] or 518-439-3310.
Should be Empty:

This page uses TLS encryption to keep your data secure.