virtual food drive

Please fill this form out online. When you are finished, please click on the "Print" button at the bottom of the form to print out this form with your information. If you are having problems with the page, just simply print out the page and manually enter the amounts that you would like to donate.

Picture	Description	Our Price	Quantity	Donation
	Milk 2% (Four 1 gallon jugs)	$6.40	0 1 2 3 4 5 6 7 8 9 10	$
	Milk 2% (Nine ½ gallon cartons)	$6.72	0 1 2 3 4 5 6 7 8 9 10	$
	Canned Vegetables (12/15 oz.)	$3.00	0 1 2 3 4 5 6 7 8 9 10	$
	Macaroni & Cheese (24/7.25 oz.)	$5.79	0 1 2 3 4 5 6 7 8 9 10	$
	Rice (12/2 lb.)	$7.87	0 1 2 3 4 5 6 7 8 9 10	$
	Shampoo (6/15 oz.)	$6.28	0 1 2 3 4 5 6 7 8 9 10	$
	Laundry Detergent (4/100 oz.)	$7.80	0 1 2 3 4 5 6 7 8 9 10	$
	Tuna/Hamburger skillet meals (12/7 oz.)	$7.63	0 1 2 3 4 5 6 7 8 9 10	$
	Baked Beans (12/28 oz.)	$10.58	0 1 2 3 4 5 6 7 8 9 10	$
	Canned Pears, Juice Packed (24/15 oz.)	$8.85	0 1 2 3 4 5 6 7 8 9 10	$
	Pasta (20/1 lb.)	$9.52	0 1 2 3 4 5 6 7 8 9 10	$
	Hot Cereal (12/18 oz.)	$9.87	0 1 2 3 4 5 6 7 8 9 10	$
	Peanut Butter (12/18 oz.)	$11.45	0 1 2 3 4 5 6 7 8 9 10	$
	Beef Stew (12/24 oz.)	$10.71	0 1 2 3 4 5 6 7 8 9 10	$
	Beef Ravioli (12/15 oz.)	$13.94	0 1 2 3 4 5 6 7 8 9 10	$
	Processed Cheese (12/12 oz.)	$13.34	0 1 2 3 4 5 6 7 8 9 10	$
	Toilet Paper (96 rolls)	$15.76	0 1 2 3 4 5 6 7 8 9 10	$
	Cold Cereal (12/18 oz. boxes)	$15.60	0 1 2 3 4 5 6 7 8 9 10	$
	Orange Juice (12/46 oz.)	$17.29	0 1 2 3 4 5 6 7 8 9 10	$
	Low Sodium Soup (24/10.5 oz.)	$18.52	0 1 2 3 4 5 6 7 8 9 10	$
	Canned Tuna (48/6 oz.)	$24.56	0 1 2 3 4 5 6 7 8 9 10	$
	Frozen Turkeys (4/10 lb.)	$34.22	0 1 2 3 4 5 6 7 8 9 10	$
	Ground Beef 80/20 (10/4 lb.)	$70.00	0 1 2 3 4 5 6 7 8 9 10	$
Total Donation: $
*Note: Virtual Food Drive donations are used to purchase grocery products that are most requested by our partner agencies. Pricing and availability of items is subject to change; actual product mix and quantities may vary, but not the type or quality.
Billing Information
Please enter your billing exactly as it appears on your credit card statement.
Title:	<Select Title> Dr. Dr. & Dr. Dr. & Drs. Dr. & Mrs. Dr. & Mr. Mr. Mrs. Mr. & Mrs. Mr. & Ms. Miss Ms. Rev.
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Contact Information
Phone:
Email:	Required for Receipt
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Make checks payable to: Second Harvest Heartland Mail your check and this form to: Second Harvest Heartland Attn: Virtual Food Drive 1140 Gervais AVE Saint Paul, MN 55109-2020 If your employer matches donations, please provide them with a copy of this.
Note: Fields marked with * are required.
Your contributions to Second Harvest Heartland are tax-deductible to the full extent of the law.