WEEKLY MEALS ORDER FORM--SAU 13

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Please fill out one form for each household if you are requesting meals and are not already on our distribution list. Meals can be picked up from your town's elementary school or delivered to bus stops between the hours of 11 A.M. and 12:30 P.M. If you request delivery, someone will need to be present at the bus stop to obtain the meal. Please email mnadeau@sau13.org with questions or concerns. There is NO COST for these meals.

Town of residence *

Freedom

Madison

Tamworth

Please provide a contact name and phone number or email address so we can contact you about delivery location and time.

Number of children in your household under age 18 for whom you are requesting meals: *

First & last name of each child *

Pick up or delivery *

Pick-up

Delivery

If Delivery, please add address (or address of nearest bus stop if known)

Breakfast? *

Yes

Lunch? *

Yes

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