Besom Christmas Hamper Referral Form 2021
Thank you for referring your client/s for a Christmas Hamper this year.
Please note we can only accept referrals from care professionals/support workers.
We, as always, have a limited amount depending on how many are donated. We can't promise one for everyone who is referred to us, but we will do our absolute best. Please note the last day to refer for Christmas Hampers this year is Friday 3rd December.
If you have any problems, queries or questions, please email:
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If you are referring a family, please use the parent/carer name.
Prefer not to say
Area of York
Recipient's Phone Number
Type of Hamper
Individual - Adult
Individual - Elderly
Parent and child
Small Family (3)
Medium Family (4-5)
Large Family (5+)
Please include ages and genders of children so we can tailor the hampers for the family. Please include any relevant information such as allergies, likes and dislikes. And anything we might need to know about delivering the hamper. We will contact all recipients before trying to deliver.
Organisation You Work For
Your Email Address
Your Phone Number
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