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Food Bank Registration Form
Hello, in order for us to understand how to assist you, we need you to fill in the following form.

We provide short-term food bank support to households in the NG9 & NG16 areas, facing sudden loss of income. We are unable to provide indefinite support.

We provide a maximum of one parcel per week for a maximum of six weeks (you will then be moved to fortnightly for 1 month). You can read our full terms of service here: https://docs.google.com/document/d/1w-4asx4-SJId7ccldf5Ry7ESgy3hCSlC/edit 

Consent
Information supplied via this form is provided will only be viewed by a small number of people at Broxtowe Community Projects and will never be sold on to any third party.

With your consent, it may be passed on to other community services or organisations that are better placed to assist you, such as other food banks, or council organisations.

Your personal information can be deleted upon request by contacting bcp.foodbank@gmail.com.
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You only need to  complete this form once. After that you just need to contact us via email, Facebook message, text or a phone each week to request a parcel.
I consent to give you my data under the terms outlined above *
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