Please only complete this form with your own information, unless you have authorisation from the person you are completing it on behalf of.

Please be aware that by filling out this form, you are consenting to your personal information being processed by Rushcliffe Food Bank.

Your information will only be shared, where necessary, with packers and delivery drivers.

We will store your information securely and retain it for no longer than 12 months after you stop receiving parcels from us.  We will not share your information with anyone outside Rushcliffe Food Bank.