GWTM Beneficiary Order Form
Hello! Please use this form to indicate the quantity of adult diapers you or your organisation requires this month. To receive your delivery by the end of each month, please place your order before the 12th of every month. Save this link!
Your Name
*
Organisation (if any)
Eg. Clementi Family Service Centre
Email (for collection reminder)
*
example@example.com
Phone Number
*
I will be:
*
Self-collecting at 2A Lor Lew Lian, Singapore 532002 on 27th Apr, 11am to 12pm
Collection appointment
*
Please indicate your/the beneficiary's required products.
*
Categories:
All
All
Adult Diapers (Tape)
Adult Pants (Pull Up)
Other sanitary products
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Adult Diapers (Tape)
Size M
$
Free
SGD
No. of Beneficiaries
Size L
$
Free
SGD
No. of Beneficiaries
Adult Pants (Pull Up)
Size M
$
Free
SGD
No. of Beneficiaries
Size L
$
Free
SGD
No. of Beneficiaries
Other sanitary products
Adult Wet Wipes
Limited quantity - Please request for urgent/bed-bound beneficiary
$
Free
SGD
Quantity
1
Absorbant Pad
Under-layer pads for bedding. Limited quantity - Please request for urgent/bed-bound beneficiary
$
Free
SGD
Quantity
1
Sanitary Pad
(Specific for bladder leakages, Female)
$
Free
SGD
Quantity
1
While we cannot guarantee catering to every beneficiary's preferred diaper brand and type, we will try our best to meet the needs of those whose medical conditions require the use of only certain brands. If you require a specific brand, please let us know in less than three lines why so:
Which brands are you requesting for?
Depend
Tena
Fairprice
Other
Our sister organisation, Go With The Flow, provides free menstrual products! If this is a need, please fill their form
here
and we will facilitate a joint delivery or collection.
Other Comments
For enquires, please contact us at
gowiththemotion.sg@gmail.com
, or @ 8931 7796.
Place Order
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