Grocery Assistance
This form is to request grocery assistance from www.voixnoire.com

Please carefully read and follow the instructions or else your application will be denied.

Please email groceries@voixnoire.com with any questions or concerns about this form.
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Email *
Do NOT submit multiple requests/emails for assistance from Voix Noire (except for reproductive wellness aids) unless directed to do so. Do NOT contact any member of the Voix Noire team via their personal methods (social media, email, phone) about requests for any reason. Doing so will disqualify you from any current or future assistance. Do you understand? *
Required
The Voix Noire team does not work on weekends. Your request will be responded to as the team is able. Sending follow-up messages slows down the process and will get your application delayed or denied. Submitting an email and/or request doesn't mean we will have the capacity to respond or assist. Do you understand?
 *
Required
Grocery assistance is not an instant service we provide. We try our best to get orders sent within 24 hours, but it could take a few days depending on store/shopper availability.
 *
Required
***IMPORTANT***

You must be available to be contacted in case there are problems with orders or deliveries.
 *
Required
If we are able to assist you, you must wait at least 60 days before applying for any other type of request. We gotta spread the love! Do you understand? *
Required
Do NOT be dishonest for the sake of qualifying for assistance from Voix Noire. Doing so will disqualify you from any current or future assistance. Do you understand?
 *
Required
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