Harvard Chabad Soup Delivery

Student Information

Please provide us with the following information to best contact the STUDENT in need of soup.

Name*

Email*

Cell Phone*

Student*

Undergraduate
Graduate Student

School*

Year*

Campus Address*

Your Information

Please provide us with YOUR contact information.

Name*

Email*

Phone*

Relationship to Student*

Soup and Delivery

What type of soup would you like to have delivered?*

Chicken Soup
Vegetarian Soup

Note

Would you like to include a short note with the soup delivery? We'll tuck it in the bag! Please type your note here:

We hope you will please consider making a donation to Harvard Chabad to ensure that we can continue giving to students in times of need. Thank you in advance for your generosity! You will have the opportunity to make a donation upon submission of this form.

Comments

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