Sign Up for Door Dash Service

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Door Dash is providing a free service for those who cannot physically get to the bi-monthly food distributions. You must live within a 10-mile radius of the Dream Center to qualify. Please fill out the information below and you will be contacted.

First and Last Name *

Please explain why you are not able to come to the Dream Center in person: *

I want to have deliveries for *

The first Wednesday of the month distribution

The third Saturday of the month distribution

Required

Date of Birth *

YYYY

Address (Door Dash will only deliver to Rolla addresses) *

Phone number *

Email address

Comments about how you would like food delivered (contact or contact-less; where to leave food, etc.) *

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