KAAF Information Request Form

Request Form

www.kaa.foundation
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Country CodePhone Number
Location and Delivery information *
Address
Nearest landmark *
Preferred delivery method*

Home deliveryCommunity drop-offPick-up pointOffice deliveryOther
Please tell us how you're connected to the foundation?*

VolunteerPartner/ SponsorFamilyOther
Household size*

1-23-45-6Above 6
Does your household have any special needs or priorities we should be aware of? (e.g elderly person, nursing mother, person with disability, etc.)*

YesNoMaybe
What type of package would be most helpful to your family?*

Food itemsClothingChildren's suppliesHygiene/ household essentialsSurprise package (any available)
What is your request?*
Any message, note or request you'd like to share with the foundation?
Should be Empty: