Register for a sack

This form is to register you or someone you know for a sack of groceries from the Valley View Church of Christ Pak-A-Sak program.

What is Pak-A-Sak? Click here for more info.

 

Please complete the form below

Name *
Name
Who is the bag for? We just need one name per household.
Address *
Address
We deliver the bag the Saturday before Thanksgiving.
Phone *
Phone
Just in case we need to contact you about delivery.
This is not a required field.