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Christmas Hamper Donor Form
* Required
Name of Company or Group
Your answer
Main Contact / Donor Information
First Name
*
Your answer
Last Name
*
Your answer
Other Contact / Donor Name
First Name
Your answer
Last Name
Your answer
Contact Information
Street Address
*
Your answer
City
*
Your answer
Province
*
Your answer
Postal Code
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Electronic Newsletter
Please add me to the E-News list.
Hamper Package Distribution
Please send me the Hamper Package by snail mail.
Hamper Options
*
Single Woman
Family - Mom + 1
Family - Mom + 2
Family - Mom + 3 or more
Shelter Families
Required
Total number of Hampers wanted
*
Your answer
Other Options
Gift cards for groceries and household items (Thrifty's, Fairways, Walmart, etc.)
General Items from the Shelter Wishlist
Cash Donation
Your answer
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