KazuNori: Feed the Front Line Request

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• You must be a nurse or doctor in an ICU or Emergency Room (ER) at a local hospital.
• Food must be picked up from the restaurant by a pre-designated person.
• If we are able to serve your group, we will ask for a copy of your hospital ID.
• Group meals for 15-20 people are available for pick-up Monday to Thursday at 5 pm only
• We are serving our 16-piece cut roll set (which can be made without shellfish)

Please fill out the form in its entirety. We are only able to feed ICU & ER unit front line workers at this time. If we can accommodate your order, a member of our team will contact you to go over details.

Please note we are only doing group meals at this time for units ranging from 15-20 people.

Email *

Please confirm you are a front line worker in the ICU or ER unit. *

I am a front line worker in the ICU or ER unit at a local hospital.

Required

How many meals can we provide your unit? *

We are only doing group meals at this time for teams of 15-20 people.

Which KazuNori location would you like to pick-up your order from? *

KN-DTLA (LA) — 421 S. Main Street

KN-Mid-Wilshire (LA) — 6245 Wilshire Blvd (at Crescent Heights)

KN-Santa Monica (LA) - 120 Broadway

KN-Westwood (LA) - 1110 Gayley Ave

KN-NoMad (NYC) - 15 West 28th Street

What day(s) are you available to have us feed your unit? Check all that apply. *

Please note: This is for pick-up only, at 5pm. If selected, a team member will contact you to arrange pick-up.

Mon, May 11

Tues, May 12

Wed, May 13

Thu, May 14

Mon, May 18

Tue, May 19

Wed, May 20

Thu, May 21

Required

What is your name? *

What is the name of the hospital for which you are requesting meals? *

Which unit is this for? *

Intensive Care Unit

Emergency Room

What is your mobile number? *

What is the best time to reach you by phone?

Preferred contact method *

Phone

Text

Required

A copy of your responses will be emailed to the address you provided.

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