What address do we send the care package? Please Include your postcode. *
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Health Condition(s) Faced: (Required)
(Please specify the health challenges you are currently facing, such as cancer, chronic illness, allergies, etc.) *
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Dietary Restrictions or Preferences
(Please specify any dietary needs, such as gluten-free, dairy-free, or other preferences.)
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Preferred Delivery Date:
(If you have a preferred date for receiving your care packages, please indicate it here.)
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Age of the person who needs the care packages *
Additional Information:
(Please share any other details that you think are important for us to know.)
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How Did You Hear About Us?
(Please let us know how you found out about Kosher Care Packages.)