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Chino Valley Proxy Form

If you are unable to attend a Manzanita Outreach food-sharing event in Chino Valley for any reason, you may assign someone to pick up food on your behalf.  The person who picks up food on your behalf is called a “proxy.” If you would like to do this, please fill out the proxy form below.  Please allow 48 hours for the form to be entered into our system.


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PROXY INFORMATION