Meal Delivery Application Form

Thank you for your interest in receiving meal delivery from Meals on Wheels of Mercer County. Please fill out this application as completely as possible on behalf of yourself, your client, your friend or family member. Our Director of Program Services will contact you within 2 business days. We look forward to serving you.

Eligibility Requirements
I am 60 years of age or older
I reside in Mercer County
I am unable to shop or cook for myself due to medical condition, illness or disability
I DO NOT have any life threatening food allergies
Application
Meal Delivery Address
Preferred Contact Method
Live Alone?
Ethnicity
Dietary Preferences (if any)
Food Texture Preferences (if any)

I am sorry you do not meet the eligibility requirements. You can contact Mercer County Nutrition Program for the Elderly at 609-989-6650 or call our office at Meals on Wheels of Mercer County at 609-695-3483 with any questions. Thank you.

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