Meal Request Form

MEAL REQUEST FORM

Name & phone # of parishioner requesting meal:­­­­­_______________________

_______________________________________________________________

Meal to be provided to: ____Parishioner ____Community Member

Name:­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­__________________________________________________________

Address:________________________________________________________

­­­­­­­­­­­­­­­­­_______________________________________________________________

Phone #____________________ # of People_____________________________

Email Address:_____________________________________________________

_______________________________________________________________

Date &Time for Delivery:_______________________________________________________

Location to leave meal if resident is unavailable:­­­­­­­­­­­­­­­­­­­­­_________________________

_______________________________________________________________

***Allergies:____________________________________________________

 

***Examples of allergies are: nuts, diary, shellfish, gluten free, soy, etc

****In the event of a volunteer emergency that prevents delivery of a meal it will be delivered by another volunteer.

Contact to Make Meal Request:

Contact: Janet McMurtray: 301-926-3326 Backup:                               Nancy Row 301-674-2918