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2. Name*
3. Phone Number
4. Email Address
6. Address*
7. Town*
8. Zip Code*
10. Number of Adults*
11. Number of Children*
12. Number of Pets*
14. Please check off the items you would like (provided that we have them in stock).
16. Vegetables

    1. Corn
    2. Carrots
    3. Peas
    4. Mixed veggies
    5. Yams
    6. Cranberry sauce
    7. Beets
    8. Spinach
    9. Potatoes
    10. Green beans
    11. Wax beans
17. Soups

    1. Chicken
    2. Beef
    3. Vegetable
    4. Wedding
    5. Cream
    6. Broth chicken/beef
    7. New England clam
18. Beans

    1. Black
    2. Pinto
    3. Kidney
    4. Chickpeas
    5. Pork/beans
20. Canned Items

    1. Tuna
    2. Chicken
    3. Salmon
    4. Clams/clam broth
    5. Spam
    6. Corned beef
    7. SpaghettiOs
    8. Lasagna
    9. Beefaroni
    10. Beef stew
21. Starched Items

    1. Mac and cheese
    2. Instant potatoes
    3. Rice
    4. Stuffing
    5. Salad dressing
    6. Cake mix
    7. Cake icing
    8. Cake fruit
    9. Pasta items
    10. Spaghetti sauce
22. Breakfast Items

    1. Cereal
    2. Pancake Mix
    3. Grits
    4. Oatmeal
24. Personal Items

    1. Dish soap
    2. Dish washer soap
    3. Laundry detergent
    4. Toothpaste
    5. Toothbrush
    6. Cleaning supplies
    7. Toilet paper
    8. Paper towels
    9. Can opener
25. Other Items

    1. Peanut butter (crunchy)
    2. Peanut butter (creamy)
    3. Jelly (grape/strawberry)
    4. Syrup
    5. Crackers
26. Baby Items

    1. Diapers
    2. Wipes
28. If you need diapers, please let us know what size.
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