Michigan Muslim COVID Grocery Order Form
If you are at high risk for coronavirus (elderly, chronic condition, immunosuppressed), a volunteer will do your groceries and deliver to you. No one will be turned away for lack of funds!

*CALL 734-210-0316 TO SPEAK TO SOMEONE OVER THE PHONE*
Email *
Name *
Please enter the product number
Phone number *
Address *
Items required *
Estimated budget (if applicable)
Anything else? (prescription filled, etc)
Payment *
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