Form Submission is restrictedThank you for joining our community.First Name*Last Name*Organisation including Ward or Program*Address Line 1*Street AddressAddress Line 2Suburb*State*Post Code*Phone Number- This MUST be a person who is be able to answer on Tuesday and Fridays 12-2pm*Permission to send text messages to mobile number given:*YesNoEmail*Hours of Operation for delivery address*BULK ITEMS REQUESTED*Underwear and socks (assorted)T-Shirts (long and short sleeve)Casual Pants (leggings and trackspants)Jumpers ToiletriesSpecific details of clothing requestedCollection Drop-off PointDelivery is preferred as we are an INPATIENT Ward*Location AboveNew LocationType new location if applicableI understand that the items provided will be what The Generosity Collective have on hand at the time of request.*YesNoHow is your request best packed*Cardboard boxesPlastic TubsPlastic zipper bags (doona and pillow)Reuasable shopping bags SubmitPowered by ARForms (Unlicensed)
