My organisation wants to receive Winter Woollies

Name of Organisation:
Contact:
Phone No.:
Email:
Main Address:
Post Code:
Which geographic areas do you serve?:	Please provide Post Codes
Describe the populations that you serve (tick all that apply):	Ages 0-18 Ages 18-55 Ages 55+ At-risk youth Families Single Adults Refugees / Asylum Seekers / Recent Arrivals Adults experiencing poverty / homelessness / unemployment Adults living with mental or /and physical health issues Older adults living with dementia
Other populations not mentioned above:
Provide a short description of the services you provide:
Select which items you wish to receive (tick all that apply):	Hats Scarves Blankets Gloves Socks Cardigans
Provide an approximate quantity of each item you wish to receive:	Please note that quantities are not guaranteed!
Do you require more male or female-oriented items?:	Male Female Both
Are you or a representative from your organisation available to attend the Winter Woollies Closing Event at Mossley Mill on 19 November 2024 at 10am?:	Yes, I or a member of my team will attend No, I am not available
Security code:

Partner Organisation Registration