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Kai Box Request Form
CONNECTING OUR COMMUNITIES THROUGH KAI
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Date *
MM
/
DD
/
YYYY
Recipients First Name *
Recipients Last Name *
Address *
Contact Number *
Email
Preferred form of communication *
Kai Box Preference *
Household Number Info *
How Many People Residing At The Address
Required
Household Age Groups *
Select all age ranges that apply to your household (including you)
Required
Ethnic Groups At Address *
Required
How did you hear about Kai Boxes *
Required
How is your need COVID-19 Related *
Required
Are there any other areas we can assist you
Kai boxes will need to be picked up Tuesday, (unless there's a delay) from The Whanau Centre, 49 Nancy Ave, Mairehau.  You will receive notification of the  time that it will be ready.  Please contact us back by email or text if there are difficulties with collecting the kai box.
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