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.

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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

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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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