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2025 - Southlakes Inc Christmas Hamper registration (Lake Macquarie & Central Coast, Newcastle, Cessnock, Kurri)
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Email
*
Your answer
First Name
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Your answer
Last Name
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Your answer
Phone Number
Your answer
Address
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Your answer
Are you a customer/client of Southlakes Inc
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Yes Cooranbong Shop
Yes Lake Munmorah
Yes Home Delivery customer
I am not a customer but I have received a free EMERGENCY hamper this year from Southlakes Inc
I attend the TLC meal service at The Entrance Primary School
If you have had a free haircut from Community Hair Project in Lake Mac or Central Coast this year
How many people live in your residence
1
2
3
4
5+
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Are you receiving a Centrelink payment
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Yes
No
Toy and Hamper collection
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Sunday Dec 14th 10am to 2pm - Cooranbong Community Centre
Monday Dec 15th 10am to 2pm - Cooranbong Community Centre
Tuesday Dec 16th 10am to 2pm - Cooranbong Community Centre
IF YOU ARE UNABLE TO PICK UP FROM ANY OF THESE SITES PLEASE EMAIL
southlakesxmas@gmail.com
Monday Dec 15th 6.30pm - The Entrance Primary School
You will need to bring your Medicare card on the day to receive your hamper/toy(s)
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