A Gift to Share

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

A Gift to Share

We would like to share and gift to anyone the joy and generosity of our donors. The only condition expressed by the donors are, these blessings are meant for any “Friends in Need” who struggles to make ends meet.
Please indicate what do you need.
1) Brand new wheelchair
2) A gift of home groceries
3) Sanitizer
4) Adult diapers

Your name (One form per household) *

Contact Number *

Items that will benefit me and my family *

A gift of home groceries ( a packet of instant noodles and instant oatmeal, 1 kg of rice and a can of Mackerel)

A wheelchair

Sanitizer

Adult diaper (medium size only)

Required

I will do the collection on one of these given dates. *

Collection Date: 15 July, Friday. Between 1-4pm | Church of St Mary of the Angels, 5 Bukit Batok Ave 2, Singapore 659918

Collection Date: 16 July, Saturday. Between 11-3pm | Church of St Mary of the Angels, 5 Bukit Batok Ave 2, Singapore 659918

Collection Date: 22 July, Friday. Between 4-7pm | Church of St Mary of the Angels, 5 Bukit Batok Ave 2, Singapore 659918

Collection Date: 26 July, Friday. Between 10-3pm | Church of St Mary of the Angels, 5 Bukit Batok Ave 2, Singapore 659918

All food items comes with expiry dates. *

I understand that the church is not responsible to any individual dietary requirement at the point of consumption.

Required

I appreciate the generosity of our donors. *

I understand that I should not retake any of the items received.

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of TRCAS.

Does this form look suspicious? Report

Forms