Christmas Hamper Offer Form 2020

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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. We will get back to you with a family / individual to make for.

Thank you

Name *

Contact Number *

Email Address *

Street Address (Optional)

We only ask for this so we can send you a thank you note in January.

Number of Hampers *

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 click other and type your preference.

Individual

Couple (two adults or single parent and child)

Small Family (3)

Medium Family (4-5)

Large Family (5+)

I don't mind - whatever is most needed

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.

Area of York

If you have a particular area of York that is on your heart, please let us know and we will do our best to match you to someone who lives in that area.

Acomb

City Centre

Clifton

Fulford

Huntington

Southbank

Leeman Road

Tang Hall

The Groves

Outer (Outside the outer ring road)

Other:

Clear selection

If you attend church, please tell us which church you go to

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. *

I consent

I do not consent

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