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Chicken Soup Delivery

When you're feeling down and in bed, too sick to get up and out to class, Chabad is here for you! Fill out this quick form and we'll be right over with some chicken soup - the best medicine. We know it's true; your grandmother said so!

**PLEASE NOTE:

This is a voluntary service and something we do out of the goodness of our hearts so that no student ever feels alone. Although we would love to provide soup for every single request, delivery is subject to availability. (We are not a restaurant 😀)

• Please complete one form per order or we won't be able to make your delivery.

• This program is for current Towson University and Goucher College students.

• Deliveries are not active during school breaks. We do not deliver during Jewish Holidays.

Please note: We currently only deliver to Towson, and this program is only for current students. Deliveries are made during the school calendar, during the Fall and Spring semester, and deliveries are not active during school breaks.
Full Name*

First Name Last Name
Phone Number*

Area Code Phone Number
E-mail*
Year*

FreshmanSophomoreJuniorSeniorGrad Student
Name of Person Ordering*

First Name Last Name
Person Ordering Phone Number*

Area Code Phone Number
Person Ordering Email*
How did you hear about us?*

Address Delivering To

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Name of dorm or apartment complex
Conmments
Should be Empty:

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