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* 1. Name

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* 2. Address

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* 3. Contact telephone 

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* 4. Number of meals required

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* 5. What day(s) would you like your meal?

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* 6. All the information you provide us will be held securely. Your details will be used only for the purposes of providing you and your family with support over the Covid-19 outbreak and in compliance with EU General Data Protection Regulation (GDPR). Please tick the box below if you agree.

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