God's KitchenÂ
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Please fill out all fields below; those without an asterick are optional.
Name
Date
Address
Directions to your home
Phone
Birthdate and/or disability
Contact person/relative
Phone of contact
Are you:
Diabetic?
Food Allergies?
Veteran?
Local church member?
Church Name?
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Contact Information
Please call or e-mail us if you have questions or would like to cancel services; to request services please use the attached form.
2000 Silver Lake Drive, Palatka, FL 32177
904-631-5282
GodsKitchen16@gmail.com