Test Request Form Special Campaigns

St Kilda Mums Order Form for Special Campaigns

If you are not yet registered, please register here before completing this form.

This form is to be used for special campaigns where you ask for certain items for multiple families, like "back to school", "one mother to another", etc.

For normal orders with one form for each family and the regular scope of items, please use this form.  

For further assistance, please contact the Social Services Team via email.

All fields with * are mandatory and must be completed.

Your Details

example: 0400111333

Family Information

 

Items Required

Please enter the number of required items next to what you require. Please note we rely on donations, so we cannot guarantee supply but we'll do our best.

Opening Times

Collection:

We will contact you if we have any queries with your order, in which case your preferred day of collection must be postponed until the issue is resolved.