Assistance Requests - Hoxton West Mutual Aid
This is a request form for people who live in Hoxton West ward and require assistance during Covid-19 outbreak. We will do our best to try and match you with a volunteer, local to you, who can help. If required, we can refer you to local organisations and the council who may be able to provide further support.

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Name
Email
Contact number
Street name
Required assistance
How urgent is your request?
Clear selection
Anything else?
By clicking submit you agree for your data to be stored by the volunteer group Hoxton West Mutual Aid for group purposes only. Please tick the boxes below to indicate your consent for data sharing. Once your request has been complete, all details will be deleted. You can withdraw consent at any time by emailing HoxtonWestMutualAid@gmail.com *
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