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SOFEA Community Larder Registration
Form to collect details for membership of the SOFEA Community Larder as part of the COVID19 Community Support, *you only need to register once
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* Indicates required question
Email
*
Your email
First name
*
Please enter your First name.
Your answer
Surname
*
Please enter your Surname.
Your answer
Address
*
Please enter the First Line of address, including House name/Number and Street/Road
Your answer
Postcode
*
Please enter the Postcode for your address, where you live. We cover ALL OX11 and some OX12, OX13 and OX14 postcodes near Didcot.
Your answer
Telephone Number
*
Your telephone, either mobile or landline - no country codes please
Your answer
Membership Type
*
Choose
Individual
Family
Other
Select any of the options which may be relevant to your personal circumstances
SOFEA may be able to offer advice or information relevant to you needs.
Low or no income household
Older person
Life limiting conditions
Asylum seeker/refugee
N.E.E.T.S.
B.M.E.
Homelessness
Drug or alcohol addiction
Physical health problems
Mental health problems
Domestic violence
Ex-offender
Ex-service personnel
L.G.B.T.
Long-term unemployed
Young people/In care-care leavers
Lone parents
Other:
Where did you hear about the Community Larder
Your answer
How will being a member of the Community Larder help you
Your answer
Name up to 3 people to collect from the Community Larder on your behalf
Nominated persons will need to bring photo ID to collect on your behalf
Your answer
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This form was created inside of Great Western Park Residents' Association.
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