Meals on Wheels Payments

Client Payment Form

Please use this form to make a payment on your Feed More Meals on Wheels meal plan. This is only to be completed for current Meals on Wheels client payments. To make a donation, please visit our donation page. If you’re interested in becoming a Meals on Wheels client in Central Virginia, please visit Feed More’s Meals on Wheels page for more information.

Client Information (Person Receiving Meal Service)

Name

First

Last

Account ID

Billing Information

Price

Minimum Price: $5.00

Credit Card

Card Number

Expiration

Security Code

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Main Menu

Contact

Meals on Wheels Payments

Client Payment Form

Client Information (Person Receiving Meal Service)

Billing Information

Meals on Wheels Payments

Client Payment Form

Client Information (Person Receiving Meal Service)

Billing Information

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