Change of Information Form If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required Agency ID Number * Agency Name * Agency Site Address Agency Mailing Address Do you need to update your address, Executive Director or Head Pastor? Check the box below. Please send forms to update my information New Food Program Director Phone Email Online Shoppers Please submit email with each current online shopper to receive order notifications Name Email Name Email Name Email Pick Up/Shoppers Individuals authorized to receive orders and/or shop at the Food Bank Name Pick up Shopper Name Pick up Shopper Name Pick up Shopper Name Pick up Shopper
