OPACC London 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 London and Middlesex County ONLY.Register for free at www.opacc.org/membershipThe OPACC London Gift Card Program is supported by Employment and Social Development Canada and the London Community Foundation. Funding was provided from the Emergency Community Support Fund to help families financially during this difficult time of COVID-19. OK Question Title * 1. Are you a resident of London or Middlesex County? Yes - please proceed No - sorry, this program is for residents of London and Middlesex County only OK Question Title * 2. Contact information Name Address Address 2 City/Town Postal Code Email Address Phone Number OK Question Title * 3. Number of people in your household OK Question Title * 4. 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 Petro Canada $50 Shell $50 Ultramar $50 OK Question Title * 5. Enter any additional comments or notes 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