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TMP Grocery Delivery Form
If you are a Senior citizen or Immunocompromised, one of our volunteers can deliver your groceries straight to your front door for no charge; just fill out this form!
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What is your name?
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Your answer
What is your address?
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Your answer
What is your phone number? (This will be used for quick contact between your volunteer and you)
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Your answer
What is your email address? (This will be used for general communications)
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Your answer
What electronic payment method can you use? (Cash can unfortunately not be accepted as it requires physical contact)
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Venmo
PayPal
Apple Cash
Cash App
Zelle Quickpay
Other:
What grocery store do you prefer / is closest to you?
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Your answer
Do you have any other question, comments, or concerns?
Your answer
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