Feast for Families

Providing Thanksgiving Meals for Families Affected by ALS.

Feast for Families Request Entry

Feast for Families is a program that provides funds for a Thanksgiving Meal for families affected by ALS. Please provide the following information to receive a $75 Grocery Gift Card to purchase a Thanksgiving Meal. One entry per household, limited quantity available on a first come first served basis. Entries must be received by November 4th.

Name of person with ALS in the household(Required)

First Last

Email(Required)

Phone Number(Required)

Alternate Person to Contact(Required)

First Last

Relationship to Person with ALS(Required)

Phone

Address of person with ALS to Mail the Gift Card(Required)

Street Address Address Line 2 City State ZIP Code

Preferred Store Gift Card:(Required)

Please choose one of the following options. If these options are not convenient, please choose Other and we will work to accommodate your request.

Harris Teeter

Food Lion

Walmart

Other