Food Donation Request Please Answer ALL Questions. This is for our food bank. You can come and pick it up anytime we are open! Your name: Current date and time: Home address (Street Name and Street Number): Home address (City, State, and Zip Code): phone number: How many Animals do you have? Dogs(breed) Cats(breed) How many bags are you requesting? Sign and date: Type the characters shown in the image above for verification.