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Food parcels for residents in-need by Surplus4Dorset
Each food parcels will contain a mix of ambient items for breakfasts and meals, e.g. tins, jars, pasta, and cereal. All subject to availability as we work with surpluses
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* Indicates required question
Please provide the name of the applicant and a contact mobile number. Booking with all required information will be confirmed by mobile. Please note that any missing information will stop us from providing you a food parcel and we will not be able to edit the application on your behalf.
*
Your answer
Do you need a food parcel?
*
Choose
Yes, we do
No thank you
How many people are in your household?
*
Choose
1
2
3
4
5
6
7
8
9+
How many children under 13 are in your household?
*
Choose
0
1
2
3
4
5
6
7
8
Do you and/or your family members have any food allergies? If so to what?
*
Your answer
Please provide your address for product tracing/recall reason only.
*
Your answer
Which School(s) do your child(ren) go to? Please list them all, 0 if none.
*
Your answer
Have you received the lunch/bread voucher from school over school holidays?
*
Yes
No
Required
Have you received food parcels from the school/Gov/food-bank this year?
*
Yes
No
Other:
Required
Are you (anyone in the family) on any benefit? What type if any.
*
Your answer
When would you like to collect a food parcel if available?
*
Thursday April 8th 11-12 at the Parkstone Christadelphian Church
Friday April 9th 11-12 at the Winton Christadelphian Church
Sunday April 11th 11-12 at the Parkstone Christadelphian Church
I can't collect
Other:
Required
When would you like to collect a food parcel in the following week if available?
*
No thanks
Yes if more available on Tuesday April 13th 11:30-12:30 at the Winton Christadelphian Church
Yes if more available on Thursday April 15th 11-12 at the Parkstone Christadelphian Church
Yes if more available on Friday April 16th 11:30-12:30 at the Winton Christadelphian Church
Yes if more available on Sunday April 18th 11-12 at the Parkstone Christadelphian Church
I can't collect
Other:
Required
Please provide relevant information here including the full name of collector on the day if different from the applicant.
*
Your answer
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