Big Y Donation Request Form

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Dear Customer,
Big Y Foods Inc would be happy to review your request for a donation. We ask that you fill in the below information and submit this form, along with a letter outlining your activity and needs. We ask for at least a week to process your request. We will then contact you.

Your Name: Your Address: City, State, Zip: Your Phone Number: Name of Organization: Are You Looking For Product or Gift Certificate? Description of the Function: What is the Date of the Function? Please paste letter outlining your activity and needs here: What Big Y Market do You Want to Pick Up Your Donation at if You are Looking for Product? Select A Location CT Ansonia 403 Main Street CT Avon 255 West Main Street CT Bethel 83 Stony Hill Road CT Danielson 70 Wauregan Road CT E. Hartford 265 Ellington Road CT East Windsor 67 Prospect Hill Road CT Ellington 135 West Road CT Enfield 65 Palomba Drive CT Groton Groton Shoppers Mart, 995 Poquonnock Rd CT Guilford 830 Boston Post Road CT Manchester 234 Tolland Turnpike CT Mansfield 141B Storrs Road CT Monroe 535 Monroe Turnpike CT Naugatuck 85 Bridge Street CT New Milford 1 Kent Road Unit 1 CT Newtown 6 Queen Street CT North Branford 1289 Foxon Rd. (Route 80) CT North Haven 345 Washington Ave. CT Norwich 224 Salem Turnpike CT Plainfield 83 Lathrop Road CT Plainville 275 New Britain Avenue CT Rocky Hill 1040 Elm Street CT Stafford Springs 87 West Stafford Road Rt. 190 CT Stratford 355 Hawley Lane CT Tolland 33 Fieldstone Commons CT Torrington 504 Winsted Road MA Adams 1 Myrtle Street MA Amherst 175 University Drive MA Chicopee 650 Memorial Drive MA East Longmeadow 441 N Main Street MA Great Barrington 700 South Main Street MA Greenfield 237 Mohawk Trail, Route 2 MA Holden 160 Reservoir Street Rt. 31 MA Longmeadow 802 Williams Street MA Ludlow 433 Center Street, Suite 3 MA North Adams 45 Veterans Memorial Drive MA Palmer 1180 Thorndike Street Rt. 32 MA Pittsfield 200 West Street Suite 4 MA South Hadley 44 Willimansett Street MA South Hadley 501 Newton Street MA Southampton 10 College Highway Rt. 10 MA Southbridge 505 E. Main Street MA Southwick 195 College Highway MA Spencer 62 W. Main Street MA Springfield 1090 St. James Avenue MA Springfield 800 Boston Road MA Springfield 300 Cooley St MA Walpole 1111 Providence Highway, Route 1 MA Ware 148 West Street MA West Springfield 503 Memorial Ave. Suite 1 MA Westfield 475 East Main St. MA Westfield 1 East Silver Street MA Wilbraham 2035 Boston Road MA Worcester 100 Mayfield Street MA Worcester 50 S.W. Cutoff

Mrs. Boggis will contact you one week prior to the date of your function, if product is needed. If a gift certificate is requested, it will be mailed to your home address.

If you have questions, please call Mrs. Boggis at (800) 828-2688

©Copyright 2008,  Big Y Foods, Inc., Springfield, MA,  (413) 784.0600  
Artwork is for display purposes only and does not necessarily reflect specific items. Not responsible for typographical errors.

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