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Christmas Hamper Donor Form
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Name of Company or Group
Main Contact / Donor Information
First Name *
Last Name *
Other Contact / Donor Name
First Name
Last Name
Contact Information
Street Address *
City *
Province *
Postal Code *
Phone Number *
Email *
Electronic Newsletter
Hamper Package Distribution
Hamper Options                                                       *
Total number of Hampers wanted *
Other Options
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