Your Name^*

Email^*

Phone No^*

Reference Number^*

UR-Rahman Foodbank request Form , Food Groceries & Essential Items Of Need Subject To Availability & Terms & conditions Apply. Maximum Of (25) Tokens Can Be Used Per Visit In 10 Working Days and a Maximum of (50) Tokens per any calendar month . It is your own responsibility at the time of obtaining foodbank Items to check the Quality and expiry date , and if you have refrigeration , freezer etc , to store food items. Items chosen on any given day on your Form may Not be available, but you will be able to choose other items. The Management reserve the right to refuse anyone without reason or discrimination as they see Fit . Safe guarding and Health and Safety is our Top priority please Respect all of our Team as we are here to help you but will Not except any physical or verbal Abuse or bad language and poor attitude in anyway. Please keep children with you at all times and always in sight for safety and accidental reasons.^*

Please always when using foodbank have shopping Trollys or Bags .

If you cannot read the instructions, you will not be able to collect the food. Please make sure to read the instructions carefully. Choose 'Yes' if you have read them, or 'No' if you have not read.

Section 1: Basic Breakfast & Pantry Essentials.^*

You can see Token

Please note: All the above items are subject to availability.

We aim to support individuals and families with essential food items, household staples, and hygiene products. Below is a guide to what we usually provide, based on availability. You chose different food items, but sometimes some of them may not be available, so you can collect other available food items in their place at that time.

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