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Chicken Soup Delivery For students

CSUN Community Chicken Soup Project

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

This program is free. Donations are deeply appreciated and can be made here.

Chicken soup is delivered Monday - Friday. While we attempt to deliver the day the request is made, deliveries are available on a first come, first served basis. You will be contacted for the next available delivery.
Parent's Name*

First Name Last Name
Child's Name*

First Name Last Name
Your Phone Number*

Area Code Phone Number
Child's Mobile Number*

Area Code Phone Number
Your E-mail*

Child's Address*

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

Name of Dorm or Apartment Complex*
What is your child's year?*

Freshman Sophomore Junior Senior Grad student
How did you hear about us?*
Comments:
Should be Empty:

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