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T’s Angel Hands
Submit a request to have an Angel Hands delivery man pick up and deliver your groceries free of charge.
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* Indicates required question
Name
*
Your answer
I or someone in my household...
*
Is 60 years old or older
Has an underlying health condition
Is pregnant
Required
Phone number
*
Your answer
Email address
Your answer
I have submitted an online order for pick up at...
*
Your answer
Pick up date
*
MM
/
DD
/
YYYY
Pick up time
*
Time
:
AM
PM
Address for delivery
*
Your answer
Please check the box
*
I allow T’s Angel Hands to pick up and sign for my groceries and to drop them off on my porch.
Required
Additional comments, questions, or concerns
Your answer
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