Applications Close December 5th Parcels of Peace Recipient Christmas Appeal 2024 Name(Required) First Last Partner's Details First Last Phone(Required)Email(Required) Address(Required) Street Address City State Postcode Please tell us about your situationAre you a Concession Card Holder?(Required) Health Care Card Pension Card Disability Card Veterans Card I do not have a Concession Card Please note you will be requested to provide a sighting of your card for verification purposes.Your Current CircumstancesPlease inform us why you would like to receive a hamperHow many people at your address?(Required)I live aloneI am only living with my partnerI have a family living meAre there any Food Intolerances / Allergies?How many Children (under 17) are currently living with YOU?(Required) 1 2 3 4 5 Other Children InformationPlease let us know that names, gender and age of each child living with you. Eg. Ben / 4 / Boy or Sarah / 13 / GirlBy submitting this application you accept that Rhythm Initiative Limited (ABN: 94 645 685 230) has the permission to cross reference your application with other agencies who are also providing Christmas Hammper Assistance. This helps us to ensure that only one hamper of assistance is given per application. This helps ensure that the Spirit of Christmas is fairly distributed to families across the Sunshine Coast. NameThis field is for validation purposes and should be left unchanged. Δ
