Requesting Services | Shopping Angels, Inc.
Shopping Angels is a program designed to provide services to those populations deemed especially at-risk for the novel COVID-19 virus that is spreading throughout the United States. To help ease the uncertainty, anxiety, and fear surrounding this pandemic, we are volunteering our time to personally deliver groceries or other shopping necessities to those who may prefer to stay within the safety of their own home at no additional cost.
If you cannot afford your items at this time and would like financial assistance, please click the link below to request help!
I understand that through submission of this form, we will take many steps to ensure your privacy but confidentiality of information cannot be guaranteed. Your information will be viewable by the Board of Directors and state/national coordinators.
What country do you live in?
United States of America
Never submit passwords through Google Forms.
This form was created inside of Shopping Angels.