Friends of Bethlehem application form - Calvary Health Care Bethlehem

Help us build a Community of Support

Come and join us as a Friend of Bethlehem by registering your details in the form below,

To read the most recent copy of the Friends of Bethlehem newsletter click here

Title
Name*
First Last
Address*
Street Address Suburb State Postal Code
Phone number / mobile*
Email
Which of the below best decscribes you?
How did you hear about Friends of Bethlehem?
Let us know what interests you
As well as the Friends of Bethlehem Newsletter and newsflashes, I would also like to receive:
- Direct Mail - in June and at Christmas
I am interested in finding out more information about:
- Volunteering at Bethlehem
- Sharing my care experience to help others
- Assisting with community events
- Staying in touch via newsletters and updates
How would you like us to contact you?
Thank you for selecting one or more options below. Our preference is email.*
- Email
- Post & Email
Calvary Health Care Bethlehem is committed to protecting your privacy. We collect your personal information so that we can contact you regarding your donations to our organisation and other activities that you may be interested in. You can opt out at anytime by emailing us at: [email protected]
Security
To confirm your request, please check the box to let us know you're human (sorry, no robots allowed).