Meals on Wheels - Expression of Interest

The following eligibility criteria must be met:

Age 70 years or older
Live in the Shire of Coolgardie (Kambalda and Coolgardie only due to food safety restrictions)
Have no dietary requirements. Unfortunately we are unable to cater for different dietary needs at this time.

EOI Form available for download here.

Full Name of Recipient

Address

Street Address:*

City:*

State:*

Post Code:*

Country:

Age

Phone Number

Email Address

Emergency Contact Name*

Emergency Contact Phone Number*

I meet the following eligibility criteria:

Am 70 year or olderLive in Kambalda or CoolgardieHave no dietary requirements

Other Comments

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