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Service User Order Form

Roundabout Canberra welcomes referrals from social workers, health services and social services agencies. If you are an individual needing help please visit our Get Help page. If you are an agency making a request for items, we require the items to be collected by yourself or a nominated colleague from our premises at a pre-arranged time.

Last day for order collections will be Friday 19 December at 3pm, we will then reopen to collections on Monday 5 January. If you have an urgent order during this time, please email us to discuss.
(example@example.com)
(example: 04xxxxxxxx or 02xxxxxxxx)

Asylum seeker / refugee
Carer (e.g. kinship/foster/partner care)
Child protection issues
Culturally and linguistically diverse
Disability (child and/or parent)
Domestic violence
Financial hardship
Housing issues / homeless
Isolation, lack of support
Mental health issues (child and/or parent
Multiple birth
Physical health issues,eg.illness)
Single father
Single mother
Substance abuse issues
Young parent/s (under 25)






Unisex Quantity required


Size Boy Girl


Size Boy Girl
2
3
4
5
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9
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General items
                      
Quantity required
Baby bath
Baby carrier
Bouncer / Rocker
Change table
Highchair
Safety gate (add length needed in comments if more that a standard doorway)
Safety pack (household safety items eg powerpoint covers)





We are trialling free delivery to your organisation. We are doing this by region on first serve basis as we have limited availability.
Monday - Queanbeyan, Canberra city and East Canberra 9:30-11:30AM
Tuesday - South Canberra, Inner South 10am-12pm
Thursday - Inner North, Gungahlin and Belconnen 9:30-11:30am
Surrounding NSW towns on request

You must have someone available at your service to accept the items during the above times. Unfortunately, we cannot deliver to families or individuals. If you would like delivery, please indicate this below with full address details and drop off information. We need at least 48 hours notice and will let you know if we cannot facilitate delivery due to demand.

Delivery requested

Delivery address for your organisation and any details we need to find you :

Delivery phone contact for the day of delivery in case we have trouble locating you :

By submitting this form, you have agreed to Roundabout Canberra’s service policy and privacy policy, and you agree to receive emails from us. No spam, we promise! *