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Poster Of The Month Club Order Form
SUBSCRIPTIONS ARE AVAILABLE FOR NJ ORGANIZATIONS ONLY.
Please complete the order form below (all fields with * on the form must be filled in). When completed be sure to click.
Place order only once.
Contact First Name
*
Contact Last Name
*
Contact Title
*
Name of Agency
*
Address
*
Address (cont.)
City
*
County
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zipcode
*
Telephone
*
Telephone 2
Email
*
Location
*
Please Select
Food Pantry
Soup Kitchen
Church Bulletin Area
Other
Is your Food Pantry or Soup Kitchen connected with a faith-based organization?
*
Yes
No
Which Food Bank (if any) do you get food from?
Please Select
Community Food Bank of NJ (main), Hillside, NJ
The Food Bank of Monmouth and Ocean Counties, Neptune, NJ
Community Food Bank of NJ (southern branch), Egg Harbor, NJ
Food Bank of South Jersey, Pennsauken, NJ
Mercer Street Friends, Lawrenceville, NJ
NORWESCAP, Phillipsburg, NJ
NJ Farmers Against Hunger, New Jersey Department of Agriculture, Trenton, NJ
Tri-County Cap, Bridgeton, NJ
M.C.F.O.O.D.S. Middlesex County's Emergency Food Network, Cranbury, NJ
I get food from a Food Bank but it is not listed above.
I do not get food from any food bank.
Language?
English Only
Spanish Only
Both
Note:
Not all posters are available in Spanish. If you chose to receive the Spanish version of the posters you will only receive posters in those months where a Spanish poster is available.
After this form is completed, your Starter Kit and your first month's poster will be sent.
We would appreciate it if you kept the Starter Kit posters posted at all time.
Posters will be delivered by US Postal Service in priority mail parcel boxed. Poster Packages will be left along with other mail.
To prevent loss or damage, if you would like a poster mailed to a different address or a different addressee or directed to a person other then yourself;
CLICK HERE
Shipping Information
Addressee First Name
*
Addressee Last Name
*
Mailing Address Line 1
*
Mailing Address Line 2
City
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zipcode
*
Poster club subscribers will receive one poster a month for a year. The contents of the posters relate to themes on nutrition and/or exercise fitness. For additional information on many of these themes, go to our inserts page for inserts that provide more information on various topics of interest to the people you serve in the community.
For more information please contact:
Zackary King
at
Click to E-mail
or call (732) 932-1966 ext. 3131
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