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Perth Firefighters Calendar Online Collection Form

Please fill out the below form to confirm your calendar pick-up from the Perth Children’s Hospital Foundation Gift Shop.

Personal Details

Name*
*
75 calendars per box / Maximum 4 boxes per person
DD slash MM slash YYYY
Please note, our gift shop hours are Monday to Friday, 8 am-5 pm and Saturday & Sunday, 10 am-2 pm.
If answer is yes, please fill out the below questions.
DD slash MM slash YYYY
Public Liability Insurance*
Consent*
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