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The Baby Bank Uniform Request Form
Please complete 1 form per child.
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* Indicates required question
Email
*
Your email
Your Contact Information
Referring Partner Role if Applicable
*
Your answer
Organisation Name if Applicable
*
Your answer
Email Address
*
Your answer
Telephone Number
*
Your answer
Please tick to confirm the recipient has confirmed to you that they are happy for us to store these details electronically in order to contact you and/or them about the referral:
*
Yes
No
Required
How soon are these items required?
*
ASAP
Other:
Can you or the family collect from our storage in Holyport, Berkshire? If you would like it dropped to your centre/office, please state in "other"
Please note we cannot drop direct to families
*
I will collect from The Baby Bank (Holyport)
The family to collect from The Baby Bank (Holyport)
Other:
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