Hyde Park Mutual Aid Support Form/ Formulario de Apoyo Mutuo Hyde Park
This is a form for requesting services such as food/grocery delivery. We send out delivery requests twice a week, so while we may not be able to fulfill requests within 1-2 days, we will try to get back to you as soon as we possibly can /

Este es un formulario  para solicitar servicios como comida/entrega de compra del supermercado, lavanderia o chequeo de su bienestar mental.

We are a group of volunteers in Hyde Park and surrounding neighborhoods who believe that we as neighbors can support each other. To learn more about Hyde Park Mutual Aid, read about our background and principles at bit.ly/HPMA_Background. If you'd like to get involved, feel free to indicate on this form or email us at hydeparkmutualaid@gmail.com/ 

Nosotros somos un grupo de voluntarios en Hyde Park y los vecindarios alrededor quienes creemos que, como vecinos podemos apoyarnos uno al otro. Para aprender mas sobre Apoyo Mutuo Hyde Park, lee sobre nuestra historia y principios en bit.ly/HPMA_Background. Si quieres involucrarse, sientase libre en indicar en este formulario o mandarnos un correo electronico a hydeparkmutualaid@gmail.com

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First Name/ Primer Nombre
Last Name/Apellido
Help Needed/ Ayuda necesitada
How many people are in your household?/ Cuantas personas en su hogar?
What neighborhood do you live in?/ En que vecindario vives?
How should we contact you?/ Como debemos contactarle?
What is your email?/ Cual es su correo electrónico?
What is your phone number (numbers only please)/ Cual es su número de teléfono ?
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