Please use this form for someone requiring emergency food aid.

Requirement:
Household should be in Woodley or Bredbury
Household should be suffering financial hardship (other forms of delivery for paid groceries are available)
Households should not be in receipt of other emergency food aid provision

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* 1. Recipients address

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* 2. How many people in the household

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* 3. Is the household vegetarian / halal?

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* 4. Your name

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* 5. Your phone number

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