Senior Nutrition
Current Meals on Wheels customers can use this form to cancel a meal, make a reservation, or update a milk preference.
Are you a current senior nutrition program customer? You currently receive Meals on Wheels or have dined with us in the past year.
*
Yes
No
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Welcome Back Returning Customer!
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Full name of person who needs to cancel or make a reservation (if different)
How can we help you today?
*
Cancel a Meals on Wheels delivery
Update my Meals on Wheels milk preference
Make a senior dining reservation
Cancel a senior dining reservation
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Meals on Wheels Cancellation
Date to cancel
*
-
Month
-
Day
Year
Date
Add another date to cancel delivery
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Month
-
Day
Year
Date
Notes (add additional cancellation dates or information we may need to know here)
Submit
Meals on Wheels Milk preference update
I would like to update my milk preference to
2%
Skim
Chocolate
Notes (add additional information we may need to know here)
Submit
Senior Dining Reservations
Where would you like to make a reservation?
Langlade County
Lincoln County
Marathon County
Wood County
Langlade County: please select a location
Antigo Community Church
Senior Center of Langlade County
Elcho Community Center
St. Mary's - Pickerel
Lincoln County: please select a location
Tomahawk Senior Center
Gather at the Table - Merrill, Gleason
Marathon County: please select a location
Hmong American Center - Wausau
Wood County: please select a location
Centralia Center - WI Rapids
Nekoosa Community Center
2nd Street Community Center - Marshfield
Reservation Date
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Month
-
Day
Year
Date
Submit
Senior Dining Cancellation
Where would you like to cancel a reservation?
*
Antigo Community Church
Senior Center of Langlade County
Elcho Community Center
St. Mary's - Pickerel
Tomahawk Senior Center
Gather at the Table - Merrill, Gleason
Hmong American Center - Wausau
Centralia Center - WI Rapids
Nekoosa Community Center
2nd Street Community Center - Marshfield
Cancelation Date
*
-
Month
-
Day
Year
Date
Additional Cancelation Date
-
Month
-
Day
Year
Date
Submit
Thank You for Reaching out!
Please call us to complete your registration. 888-486-9545
Submit
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