Working together to build and sustain
hunger free communities
throughout the Southern Tier.

Soup Bowl


AGENCY FORMS


2015 Annual Membership Renewal

(posted November 14, 2014)


It’s time to renew your membership with the Food Bank of the Southern Tier. Membership packets were mailed November 12, 2014. Please note that the membership fee has increased to $35.00 per program this year.  All completed membership materials are due back to the Food Bank no later than Friday, December 12, 2014.  If applications are received after that date, there will be a $5.00 late fee applied to your membership. 

 

Completed membership packets include: Application completely filled out, Membership Agreement signed by both Executive Director and Agency Contact, Pantry Addendum (Pantries only) signed by both Executive Director and Agency Contact, Delivery Agreement signed by both Executive Director and Agency Contact and if your piggy-backing with another agency, signed by that agency’s Director, along with the $35.00 membership fee.

 

If you have any questions regarding membership, please contact Vickie Steck, Agency Services and Programs Assistant at 607-796-6061, x4016 or .

 

Cover Letter

Renewal Application 2015

Membership Agreement 2015

Pantry Addendum 2015

Delivery Agreement 2015 

Delivery Facts 2015

Holiday Schedule for 2015

 


Additional Agency Forms

Monthly Stat Sheet for Pantries
Daily Distribution Log for Pantries
Refrigerator and Freezer Temperature Log


For more information contact: 
Vickie Steck, Agency Services & Programs Assistant
at 607.796.6061 x4016 or email

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388 Upper Oakwood Ave. | Elmira, NY 14903 | 607-796-6061 A regional agency of Catholic Charities and a member of Feeding America