Printable Donor Form

Get ready to fight hunger! There are several ways to make a difference in our community. Won't you please help? (Fill out this page, print it and send with your donation to Rock River Valley Pantry, 1080 Short Elm Street,Rockford, IL 61102)

Donated Amount Classification Purchasing Power
$25 Grain Level 38 lbs. of pasta
$50 Soup Level 63 lbs. of chicken noodle soup
$75 Vegetable Level 174 lbs. of canned green beans
$100 Fruit Level 121 lbs. of canned pear halves
$200 Protein Level 144 lbs. of peanut butter

Thank you for making a difference!