Christmas 4 Kids in Care 2019 Registration Registration of Interest Please complete a registration of interest with the contact details of your organisation. You can give us more than one email address to ensure you receive our Christmas 4 Kids in Care Supply Request Form in October. OK Question Title * 1. Does your organisation wish to register an expression of interest in receiving Christmas presents for children in out-of-home care? Yes No OK Question Title * 2. If Yes, please complete your contact details. If no, please proceed to Question 4. Name Company City/Town State/Province Email Address Phone Number OK Question Title * 3. Is there a secondary contact within your organisation? Please provide their details. Name Company City/Town State/Province ZIP/Postal Code Email Address Phone Number OK Question Title * 4. If you answered No to Question 1, we would appreciate if you would tell us why you do not wish to receive Christmas presents for the children in your programs. OK DONE