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JFS Food Pantry Delivery and Prepared Meal Delivery Request
This survey will inform us if you would like to start to get delivery and is required for the service. After enrollment you will need to call 734-769-0209 ext. 6 or email
to RSVP for additional deliveries. People under the age of 60, without pre-existing medical conditions, will need to attend curbside service on Thursdays.
What is your full name (First and Last)?
Are you an existing JFS client?
What is your street address?
What is your Zip Code?
What is your phone number?
What is your email address?
Are 60 years old or older?
What race to you identify as?
This is used to inform funders of the demographics of the clients served.
American Indian/Alaskian Native
Native Hawaiian or other Pacific Islander
What is your annual income?
This in no way affects whether or not someone is eligible for services and is captured only for demographic purposes for funders.
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