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We are a Qualifying Charitable Organization (QCO) - read more

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We are a Qualifying Charitable Organization (QCO) - read more

Seniors Get Fresh, Healthy Meals Delivered By West Valley Non-Profit

Handmade, Home-Style Main Dishes, Soups, Salads & Sides

Application for Meal Service

Please complete the form below. Alternatively, you can download the PDF version, complete it, and return to our office.

Your information

Emergency contact information

Special Medical Information

Service Information

Income and Other Demographic Information

(Information used by Meals of Joy when applying for grants. Specific amounts not needed)

Authorization & Acknowledgement

For legal purposes, typing your name is considered the same as signing

555 E. Plaza Circle, Suite C, Litchfield Park, AZ 85340