Please note, your information will only be used in relation to the food delivery. For further details on the Southside Housing Association Privacy Policy click the link: https://southside-ha.org/wp-content/uploads/2019/05/PRIVACY-POLICY.pdf

Please note, it may take up to 48 hours to receive contact to arrange a delivery.

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* 1. Your Details

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* 2. How many children are in the household?

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* 3. How old are the children?

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* 4. Please state any special requirements/allergies/intolerances below:

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