SAM Care Pack Registration: Melbourne Edition
To reduce the risk of our volunteers, all volunteers will be briefed regarding hand/mask hygiene, non-contact delivery and safe distancing if photo-taking is required for publicity.

The Melbourne Edition of our Care Pack will consist of:
1) 1x Reusable Face Mask
2) 1x Hand Sanitiser
3) 1x Hand Soap
4) some snacks :)
Email *
SAM Membership 2020
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Name: *
Student ID: *
NOTE: About Delivery
All deliveries will be non-contact, i.e. placing care pack on letter box, front of main door. We will try our best to deliver the Care Packs on your preferred time slots, however, we cannot promise all deliveries will be delivered at their preferred slots.

Delivery will commence after we have collated all 50 responses and organised them.

Updates will be shared via our social media.
Contact number (For our volunteers to contact you when delivering) *
Delivery Address: *
Additional Address Info. *
Delivery Note: (i.e. Leave in front of main door, Leave on top of mailbox) *
Additional Notes (optional)
Preferred Day *
Required
Preferred Time *
Consent for photo-taking for the purpose of publicity. (Safe distancing measures will be implemented) *
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