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York Foodbank E-referral Agency Sign Up
Your name:
*
First name
Last name
Email address
*
Your email address will be your username...
Agency Name
*
Who do you work for?
Role
*
What is your Job role/title?
Work phone contact
*
Agency Main Address
*
This helps us place you in the correct Agency team.
House name or number
Address line 1
Address line 2
Address line 3
Address line 4
City
County
Postcode
Name of team/agency manager (if applicable)
This helps us place you in the correct Agency team.
Permission to email relevant service information
Permission to email relevant updates about Foodbank Services (e.g. holiday opening times / changes in centre locations).
Please check the highlighted fields
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