Wednesday, May 22, 2013

Working Together
to end Homelessness

Projects

Starter Packs

StarterPacksForm


Client/Agency information

Date of referral*
Referring Agency*
Name of Agency Representative*
Agency Address*
Agency Contact Number*
Agency E-Mail address*
Client Name*
Client Address*
Client Contact Number*
Do you require a Starter Pack? (=Crockery, Cutlery, Pots, Pans, Cooking Utensils and Towels)	Yes No
Starter Pack Information

Please state whether the Starter Pack will be delivered direct to client, or to Agency*
Number of Adults*
Other
Please list how many children, if any, under 16, specifying Male/Female and ages.
What bedding is required? (One per family member)
Double Bed
Single Bed
Child
Curtain sizes required (NOTE: Only two sizes available at present)	W46in L54in W66in L54in
Number of pairs of curtains (No more than 2)

Submit

Churches Action for the Homeless
188-190 High Street
Perth
PH1 5PA

CATH is a charity registered in Scotland No. SC021740