Service Request Form
Please provide information on the services you need to help us streamline our work.
RMCER - Regina Muslim Community Emergency Response is a group of volunteers who are dedicating their time to support this initiative. Please note that filling of this form does not guarantee provision of services; RMCER's services will be delivered on a best-effort basis.
Which language do you prefer?
Less than 25
26 - 34
35 - 49
50 - 60
More than 60
What kind of support do you need?
Grocery shopping and delivery to your home - you would pay for grocery online, and we will pick it up and deliver it for you
Medication pick up and drop off
Lunch/Dinner delivery - only for Healthcare Professionals
Friendly Phone Call - if you feel lonely and need someone to talk
International Students - we are offering free grocery shopping and delivery to international students. Are you an international student?
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