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TPFC COMMUNITY FOOD BANK
THE PAS FRIENDSHIP CENTRE INC.
*** One application per household.
*** Please read carefully and fill out ALL of the information. Incomplete forms can not be accepted. For those sections you can not fill out, please use "N/A" to indicate this.
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Today's Date
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MM
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DD
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YYYY
Client Name (please use your FULL legal name)
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Your answer
Date of Birth
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MM
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DD
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YYYY
Home (Street) Address
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Your answer
Mailing Address (If it is a P.O. Box, please state "Station Main" or "OCN")
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Your answer
Mailing Postal Code
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Your answer
Email Address (you will not receive any junk mail, this is necessary to contact you faster)
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Your answer
Phone Number (there is no texting)
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Your answer
Alternate NAME and PHONE NUMBER if you are unable to pick up your items. We need BOTH.
Your answer
Indigenous Status
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Metis
Status
Non-Status
Inuit
Other
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