First Name

Last Name

Check items donating
Leg Quarters
Long Grain Rice (10lb. Bag)
Flour (5lb. Bag)
Cake
Green beans(Lg. Can)
Smoke Neck Bones (Lg. Pack)
Ham Hocks (Lg. Pack)
Rolls (4 Doz.)
Cooking oil (Lg.)
Eggs (1 box)
Onions (1 bag)
Barbecue Sauce (3Lg. Jugs)
Drinks (12pk.)

Check items donating
To-Go Dinner Boxes (Divided)
Salt
Pepper
All Nature Seasoning (Large)
Napkins
Forks (200 Heavy Duty)

If you’re donating ( ie. 2 Leg Quarters please indicate here)

Phone Number

Monetary Gift (Visit www.masontemple.com/give
Yes