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Navigation Menu
Home
Our Work
Our Partners
Take Action
News
Contact Us
National Office
Western Cape
Eastern Cape
Gauteng
KwaZulu-Natal
North West
Free State
Limpopo
Northern Cape
Mphumalanga
Apply
Official COVID-19 Website
store activation form
Store Activation Form
Store Name:
*
Retailer / Outlet:
*
Store Manager:
*
Landline No:
*
Store Manager’s Cell:
*
Email:
*
Store’s FoodShare Contact:
*
Designation:
*
FoodShare Contact’s Cell:
*
Email:
*
Store Code:
Street Address
*
Suburb
Province
Postal Code
GPS Longitude:
*
GPS Latitude:
*
Has store received the FoodShare Guidelines?
*
YES
NO
Does store agree to comply?
*
YES
NO
COLLECTION DETAILS
Please indicate which BO is collecting on what day and time of collection.
Monday
Collection Time
*
Hours
Minutes
BO Collecting
*
0 / 3000
Tuesday
Collection Time
*
Hours
Minutes
BO Collecting
*
0 / 3000
Wednesday
Collection Time
*
Hours
Minutes
BO Collecting
*
0 / 3000
Thursday
Collection Time
*
Hours
Minutes
BO Collecting
*
0 / 3000
Friday
Collection Time
*
Hours
Minutes
BO Collecting
*
0 / 3000
Saturday
Collection Time
*
Hours
Minutes
BO Collecting
*
0 / 3000
Sunday
Collection Time
*
Hours
Minutes
BO Collecting
*
0 / 50000
Initial to Sign acceptance
*
Date
*
Submit Form
