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 * Required Street Address City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code PhoneEmail Does it take you longer than average to answer the door? * RequiredYesNoN/A (Bedfast)Do you have any hearing difficulty? * RequiredYesNoPartialDeafWhat are your living conditions? Do you live... * RequiredAloneWith SpouseWith FamilyOtherI would like ongoing meal delivery Yes Are you inquiring for yourself? * RequiredYesNoWhat is your relation to the client?Delivery Start Date - must be dd/mm/yyyy format * Required Delivery End Date - must be dd/mm/yyyy format * Required Please Note: A representative from Meals on Wheels Chatham-Kent will contact you by phone to discuss delivery dates and times in your area.CommentsThis field is for validation purposes and should be left unchanged.