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Member Sign Up Form

If you would like to apply to become a Your Local Pantry member, please complete the form below. Someone will then review your application and be in touch with you to let you know whether it has been approved and to go through the next steps. Please contact us if you have any questions.

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Mobile phone number preferred

 

1. Do you ever struggle to pay: *

 

2. Have you had to cut back on the amount you spend on shopping in the last 3 months? *

 

3. Do you ever run out of money toward the end of the week? *

 

4.a. How many adults live in your household? *

 

4.b. How many children live in your household? *

 

5. What's your current living situation? *

 

6. Are you interested in information about: *

If there are no allergies or dietary restrictions, please type "none".


I consent to my information being used inline with GDPR regulations, so that Your Local Pantry can contact me and to assist in the effective running of Your Local Pantry.

By clicking ‘Submit’ I confirm that the above information is correct and accept the site's terms and conditions.  Click Here to view the Terms And Conditions.

info@yourlocalpantry.org | www.yourlocalpantry.co.uk