Rizq Bantney se Bharta hai! - Food Pickup form
In these dire times when many have begun stockpiling, we should always remember that "Rizq Bantnay se bharta hai". Share a little something for those in need and help out people who are the most affected by the COVID-19 crisis.

Our logistics partners will be available to collect your donations, in the form of dry ration items from your doorstep. All you need to do is fill out the form below with your details

Compassion is the solution #EhsaasKaro
Name *
Your answer
Contact *
Your answer
Your answer
Address *
Your answer
City *
What type of food/products you want to donate? *
At these times we need Dry Ration Items. Kindly check all items that you are donating
Can you tell the quantities of each of the items you have listed above? *
Example: Flour 20Kg 5 packs, Rice 5 kg 3 Packs
Your answer
Please suggest Date +timings of pickup from your home *
Please add a date at least 24 hrs in the future.
Never submit passwords through Google Forms.
This form was created inside of RIZQ. Report Abuse