Wags For Wheels Registration Form
Please fill in your information below. After you agree to the terms and press the Submit button you will be asked to make your donation to Meals on Wheels via PayPal. If you prefer to pay by check please send your completed registration form to Meals on Wheels 121 West Nyack Road, Nanuet, NY 10954, along with your check made payable to Meals on Wheels.
* All fields marked with an asterisk are required