Surrey/North Delta Meals on Wheels

REGISTER


To register for meal delivery, you can either:

  • contact us by telephone 778-590-1433 and provide the information below, or
  • download, print, fill-out and fax the registration form to 778-590-1434, or scan and e-mail it to sndmow@telus.net, or
  • complete the form below and press the Submit button at the bottom of the form to register on-line.

We will be in touch shortly to confirm your registration and payment arrangements.


Client Information

* required fields

Family Contact or Emergency Contact

 

Sponsor  (if someone other than the client is paying for the service)


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