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I am applying to receive food delivered to my home.
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
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Transportation:

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Check all that apply.
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Please list below.



The Mooresville Soup Kitchen reserves the right to use its own discretion regarding who it approves for home delivery. We also reserve the right to cancel home delivery at any time without prior notice.

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