Referral Form

If you want to contact us directly yourself, or on behalf of someone you know, please go to the Getting Help Page.

Referral Form

This form can only be used by a referring agency, i.e. local clergy, GP Practice, school, nursery, social/health worker, housing provider or other support agency.

Please complete and submit the form below, answering all the questions. If you have any queries, please contact:

Reverend Greg Smith 07902 794653 or Reverend Richard Lonsdale 07922 830488

Email reavalleyfoodbank@gmail.com

Once the form has been submitted the person you have referred can come along to the Foodbank (or we will arrange delivery), please see our Getting Help page for more information.

Referral Form

5 + 9 =

Note – In the Location box above please fill in the venue from which the client will be collecting from:

Tuesday 10-12 Holy Trinity Minsterley

or:

Thursday 10-12 St George’s Pontesbury.

If the client is housebound we may be able to make a home delivery.