Your contact details

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Postal address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

 

{ binding firstError.message }

Emergency contact details

Please provide us with an emergency contact in case we are unable to reach you.

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

 

{ binding firstError.message }

Shop name and details

{ binding firstError.message }
{ binding firstError.message }
Please provide the address of your church. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

 

Where would you like your Useful Gifts Shop kit sent? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

Child safety and induction

Tearfund Australia is committed to the well-being and protection of children. As you will be representing Tearfund at your Useful Gift shop, we will shortly send you an email with a request to complete UG Shop induction and child safety requirements.

{ binding firstError.message }

Your contact details

First name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Last name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Postal address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 

{ binding firstError.message }

Emergency contact details

Please provide us with an emergency contact in case we are unable to reach you.

First name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Last name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Contact phone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Relationship to you {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 

{ binding firstError.message }

Shop name and details

Shop name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Please provide the name of the church where you’ll run your Useful Gifts Shop {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Please provide the address of your church. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 

Where would you like your Useful Gifts Shop kit sent? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Child safety and induction

Tearfund Australia is committed to the well-being and protection of children. As you will be representing Tearfund at your Useful Gift shop, we will shortly send you an email with a request to complete UG Shop induction and child safety requirements.

{ binding firstError.message }