OPACC Durham Gift Card Program This program is intended for newly diagnosed families and those experiencing urgent financial need who are registered with OPACC and reside in Durham Region ONLY.Register for free at: www.opacc.org/membership(You're already an OPACC member if you get our emails)The OPACC Durham Gift Card Program is supported by the Government of Canada’s Emergency Community Support Fund and the Durham Community Foundation to help families financially during this difficult time of COVID-19.Only one card per household. OK Question Title * 1. Contact information Full Name Address Address 2 City/Town Postal Code Email Address Phone Number OK Question Title * 2. Number of people in your household OK Question Title * 3. Please select one card only from this list: Loblaws $50 (same card can also be used at No Frills, Real Canadian Superstore, Wholesale Club, and Zehrs) Metro $50 (same card can also be used at Food Basics) Sobeys $50 (same card can also be used at FreshCo and Foodland) Esso $50 (same card can also be used at Mobil) Petro Canada $50 Shell $50 Ultramar $50 OK OPACC will order the cards on your behalf from Fundscrip and they will be mailed to you directly from them. Please allow 1-2 weeks for delivery. One card per household. OK Question Title * 4. Add any additional notes or comments here (please consider leaving us a quote saying how this program helps your family, especially in this time of COVID-19, so that we can anonymously use it in our grant report). OK DONE