Besom Christmas Hamper Offer Form 2019
If you would like to give a Christmas hamper through The Besom in York this year, then please fill in this form with all of your details and details of the type of hamper you would like to make.

Thank you
Name *
Your answer
Contact number *
Your answer
Email address *
Your answer
Number of hampers *
Your answer
Type of hamper *
Please indicate what size of hamper you would like to make. If you are wanting to make multiple hampers in a range of sizes, please select other.
Hamper content
Please indicate if you would like to make a hamper for someone with children of particular ages, or from a particular background, or with any specific dietary requirements.
Your answer
Area of York *
We aim to match and deliver hampers geographically so please indicate which area of the city you live in or would like to give to.
Do you regularly attend church? *
Please confirm your consent for us to keep your data securely over the Christmas period. After the season is over, we will delete your data. Our data protection policy can be found on our website.
Never submit passwords through Google Forms.
This form was created inside of Report Abuse