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 “Our Table To Yours”  by Afkarech 
This form is for families that are financially struggling and would like food to be delivered to them as part of our Ramadan Initiative from “Our Table To Yours”. This will be decided at the discretion of the Afkarech Team. 

Each participant will get food delivered for them and their families at least once during the holy month of Ramadan.

Please note regarding delivery someone must be present at the home at the timings you have chosen. Re-delivery would not be possible. 

Please ensure all the contact information is correct so we can contact you. 

We wish you a blessed and healthy month of Ramadan,

With all our love,

The Afkarech Team 

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Please give two contact numbers below: *
CPR Number Person Filling Form: *
Name of individual filling the form: *
What is your approx monthly income?  *
How any family members live in the household? Please give their names and ages below: *
Do you or any of the family have any dietary requirements or allergies? *
Please give your full address. Name one landmark close to your house: *
On what timings and days are you usually at home for delivery?

*Please ensure this is filled in correctly or we will be unable to deliver
 *
Please share any additional information if neccessary:
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