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Food Support Bookings
The Centre provides bread and other goods daily from 11am, no appointment needed, just call on in. For further food support please complete the following. Please note: Food products will be based on product availability and support/amounts can not be guaranteed - We are not a food relief organisation. Emergency Relief can only be given once every 8 weeks and ONLY to people in the postcodes 7018/7019 .
Do you live in the 7018/7019 postcode Area? (We ONLY service the Clarence Plains Area)
*
YES - Please continue
NO - We are sorry, we can not support you at this time
Have you accessed Food Support in the last 8 weeks?
*
Please Select
1. Yes - you must wait for up to 8 weeks.
2. No - you are able to access support.
3. Unsure - please call 62478163 - we can check for you.
Name
*
First Name
Last Name
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address (ID will be required to pick -up your food pack. Please make sure it contains your address)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Number of School Lunch Packs required, if any (max. of 2 per school age child):
Number of Babies in Home (age between 0-2)
Please Select
0
1
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10
Number of Children in Home (age between 3-8)
Please Select
0
1
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10
Number of Children in Home (age between 9-12)
Please Select
0
1
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10
Number of Young People in Home (age between 13-17)
Please Select
0
1
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10
Number of Adults in Home (age between 18-59)
Please Select
0
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10
Number of Seniors in Home (age more than 60)
Please Select
0
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10
Please supply the appointment information below.
*
Submit
Should be Empty: