Register For Endo-Surgery pack
Please only fill out this form if you are having surgery for ENDO /ADNO- we have very limited boxes
All information collected is confidential and is used for stats, Please advise your date of surgery and hospital eg: Wellington Hospital and if you have any allergies. Not all boxes are the same, it all depends on what has been donated and what we have available. I would appreciate it if you can help cover the postage cost for your pack, each pack is valued at over $50+ if not more, and not all items are donated from businesses, I purchase items as well.
I would appreciate a donation/koha to help cover the postage cost, we ask you to help pay that, as unfortunately the more we spend on postage the fewer packs I can send out.
Wellington non-rural/RD $5.56
Rest of North Island Non-rural/RD $8.65
South Island Non-rural/RD $14.85
South Island rural/RD $17.85