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Register For Endo-Surgery pack 

Please only fill out this form if you are having surgery for Endometriosis- we have very limited boxes.

All information collected is confidential and is used for stats; please advise your date of surgery and hospital, e.g., Wellington Hospital and if you have any allergies.  Boxes are pre-packed with various items, but not all boxes are the same, as it depends on what we have available. We get no funding for these care packages and have to buy the items ourselves.  ​I would appreciate it if you could help cover the postage cost for your pack, each pack is valued at over $50+  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.

Postage cost

Wellington non-rural/RD $6.50

Rest of North Island Non-rural/RD $8.65

South Island Non-rural/RD $14.85

South Island rural/RD $17.85

T&Cs: Surgery Boxes are Only available in Aotearoa /New Zealand and are for those having surgery for Endo only. all information on the form has to be filled in; we limit boxes and can not guarantee that all the boxes are the same and you will get it by your surgery date. We have the right to advise a box won't be sent at all, and We limit boxes to one per person per year but understand that some do have more Endo/adno/pcos a year, we have the right to advise we will not send a seconded box, this is done on a case by case base. We also understand people with Endo/adno/pcos may have other surgeries. However, we are not able to send boxes that are not specifically for Endo/adno/PCOS.  Boxes are packed each Wednesday/Thursday and sent on Thursday/Friday.

Do u hae any allergies ?
Wher did you hear about EWA Surgery Boxes?
Some of our items we are given say things like "for women" if you don't want these and want a gender neutral box please tick below
Do you need period care? please pick no more than 2 (you may only be sent oneof your choices)
At times we have items for our surgery boxes that may not be for everyone, please tick below if you would use these item(s)
Postage - please pay to bank account listed above

You can pay a Koha or postage via the PAYPAll Link below or deposit into ANZ Endo Warriors Aotearoa's account number is 01-0527-0746212-00. Reference: Your Name and Surgery Pack (this information is also emailed to you.)

Postage cost

Wellington non-rural/RD 6.50

Rest of North Island Non-rural/RD $8.65

South Island Non-rural/RD $14.85

South Island rural/RD $17.85

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