Thank you for contacting us! If you cannot visit us in person, please fill in this form.
Tell us where you are and what you need.
You must live in a Home Office hostel or hotel in Birmingham.
You can get clothes from us every 4 weeks.
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Surname/ Family Name
Date of birth
What country are you from?
Where do you live? YOU MUST LIVE IN BIRMINGHAM
Britannia Hotel, Birmingham
Stone Road Hostel (next to McDonalds)
Holiday Inn, Castle Bromwich
Best Western Hotel, Acocks Green
Ramada Hotel, Sutton Coldfield
Room Number? (if in Hotel or Hostel)
What is your mobile phone number? If you don't have a phone you can give us the phone number of a friend or of the hotel you live in.
Are the clothes for an adult or a child?
Adult (over 18 years old)
Child (under 18 years old)
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This form was created inside of St Chads Sanctuary.