Signing up for an affordable hot meal for yourself or a loved one is easy. All you have to do is fill out the short registration form below or call 519-351-MEAL (6325). Register(Required) Salutation Mr.Mrs.MissMs.Dr.Prof.Rev. First Name Last Name Address(Required) Street Address City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Email(Required) PhoneDoes it take you longer than average to answer the door?(Required)YesNoN/A (Bedfast)Do you have any hearing difficulty?(Required)YesNoPartialDeafWhat are your living conditions? Do you live...(Required)AloneWith SpouseWith FamilyOtherI would like ongoing meal delivery Yes Are you inquiring for yourself?(Required) Yes No What is your relation to the client? Delivery Start Date(Required) DD slash MM slash YYYY Delivery End Date(Required) DD slash MM slash YYYY Promo Code NameThis field is for validation purposes and should be left unchanged.