School, Church, or Organization Name
Contact Name
Contact Phone
Contact Fax
Contact Email Address
Mailing Address
Date of Drive or Event
Date Food Will Arrive at Reach Out
Additional Comments

Thank You for Sponsoring a Food Drive!

 Please Print this page and Fax to 779-0631 or
Mail  to Reach Out Lakota
6561 Station Rd.
Mailing Address
PO Box 362
West Chester, OH 45071
Thank You!