EBT/ Food Stamp - Angel Food Payment

Product Selection:

Quantity

Choose a product

Quantity

Choose a product

Quantity

Choose a product

Quantity

Choose a product

Quantity

Choose a product

Quantity

Choose a product

Card Holder Information:

Name as it appears on the card

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

Email Address

Confirm Email Address

Food Stamp Card Number (Begins with 5077 0200)

Date money is deposited to your EBT/Food Stamp account:

By checking this box, I authorize Friendship Baptist Church to withdraw funds from my EBT account (Food Stamps) and sign the receipt on my behalf. Also, I understand any orders not picked up between the set time will be redistributed at our discretion without refunds or credits, due to a lack of refrigerated storage space at Friendship Church.

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