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Completed Form, Proof of Residency and Copy of Status Card to [email protected] Applicants Info

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Completed Form, Proof of Residency and Copy of Status Card to Covidrelief21@Clfns.Com Applicants Info _Jt_ T COLD LAKE FIRST NATIONS P.O. Box 1769 I Cold Lake, AB I T9M 1P4 Phone: 780-594-7183 I www.clfns.com Urban Member COVID- 19 Assistance Application This application is to provide assistance with food purchasing for Cold Lake First Nations off-reserve or urban members. Please ensure application form is complete with all required documentation before submission. Incomplete application forms and documentation will result in a delay of processing. Eligibility: • Must reside outside of the Cold Lake & Bonnyville Region. • Must be a Cold Lake First Nations Member. Scanned copy or clear picture of applicant’s Status Card is required with submission. • One card per household. Confirmation of address is required. Scanned copy or clear picture of license, bills, or bank statement etc. *documentation required is used for funding reporting purposes* Please email this completed form, proof of residency and copy of status card to [email protected] Applicants info: Last Name: First Name: Mailing Address: ADDRESS CITY PROVINCE POSTAL CODE Phone number: Email: Sobeys Sobeys Gift Cards can be redeemed across Canada in all Sobeys bannered grocery stores. These include Sobeys, IGA*, Garden Market IGA, Foodland, Safeway, FreshCo, Chalo! FreshCo, Thrifty Foods, Lawtons Drugs, Needs, Fast Fuel and Price Chopper (ON only). However they are not redeemable at the BC Market Place IGA locations in British Columbia. PC (President’s Choice) PC gift cards can be redeemable at Club Entrepot, Extra Foods, Fortinos, Your Independent Grocers, Loblaws, Loblaw Great Food, Maxi, Maxi and Co, No Frills, Provigo, Save Easy, Real Canadian Superstore, Atlantic Superstore, SuperValu, Value-mart, Wholesale Club, Zehrs markets, Zehrs Great Food. If you have any questions or concerns regarding application process please contact Pam Janvier at (780) 594-7183 ext 247, (780)815-1181 or [email protected] Other (please identify)__________ _ If you have any questions please contact Pamela Scanie at: 780-815-1586 .
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