Mason Jar Ministry Form Mason Jar Ministry Submissions Welcome to our Mason Jar Ministry!Please use this form to submit names of individuals, couples, or families that we can bless through this ministry. Please submit ONE FORM PER HOUSEHOLD (there is no limit to how many forms you can submit). The DEADLINE for submissions is Friday, 12 noon. If you have any questions, please contact Leah Johnson (609-204-4393).YOUR INFOIn case we have any questions! Please include your phone number and/or email.YOUR NAME First Last YOUR PHONEYOUR EMAIL MASON JAR RECIPIENT INFOPlease provide as much info as possible. We cannot deliver to PO boxes. Please make sure all addresses can be found via GPS. NAME OF RECIPIENT* First Last Please list the main person at the residence. You can list additional family members below.RECIPIENT ADDRESS | no PO boxes* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code RECIPIENT PHONERECIPIENT EMAIL NUMBER OF PEOPLE IN HOUSEHOLD* NAMES OF ADDITIONAL FAMILY MEMBERSPlease add ages of children if applicable so we can personalize the package.KNOWN FOOD ALLERGIES OR SENSITIVITIESWHY WOULD YOU LIKE THIS PERSON TO RECEIVE A CARE PACKAGE?*ARE THEY COMFORTABLE RECEIVING HOMEMADE FOOD FROM SOMEONE THEY MAY OR MAY NOT KNOW PERSONALLY?* Yes No Not Sure WOULD YOU LIKE US TO INCLUDE A BIBLE OR DEVOTIONAL BOOK?* Bible Devotional Book Both, please Neither, thank you ARE THERE ANY OTHER NEEDS WE CAN ASSIST WITH?Examples: gift card for food or gas, any tangible items of need, etc.THANK YOU!Thank you for giving us an opportunity to bless someone this week!CAPTCHA Δ
