Registration Form
South Minneapolis Meals on Wheels
PO Box 17210
Minneapolis, MN 55417
smmowfin@gmail.com
(612) 721-5487. Sara Larson, Coordinator
If you are requesting Meals on Wheels delivery for yourself, fill in the following information.
What is your name? *
What is your address? *
What is your phone number? *
What is your birthdate? *
MM
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DD
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YYYY
If you are requesting Meals on Wheels delivery for another person, fill in the above information AND the information below.
What is your name?
What is your phone number?
What is your email address?
What is your relationship to the person who wants Meals on Wheels delivery?
Submit
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