Campus Care Cupboard Order Form

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Campus Care Cupboard Order Form

Thank you for allowing the Campus Care Cupboard to serve you! Select the items you need from the selections below.

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* Indicates required question

Email *

Your email

Student Name *

Your answer

Major *

Your answer

Daemen ID # *

Your answer

Allergies/food sensitivities?

Your answer

Dietary Restrictions?

Your answer

Campus Care Cupboard *

Is my primary food source

Supplements my primary food source

Other:

I have access to (check all that apply) *

None of the above

Can opener

Stovetop

Microwave

Running water

Dishes

Pots and Pans

Required

Next

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