Request edit access
HOHV Gift Card Giveaway
Nominate a neighbor in need! Fill in the information below to help replenish a neighbor's groceries after the recent power outages from storms. Please have your submissions made by Friday, April 18th.


Please note: 
  • Limited number of gift cards
  • Based on first come, first serve
  • Gift card amount subject to change based on availability
  • This is a PRIVATE form - information will not be shared with the public
Sign in to Google to save your progress. Learn more
Nominee's First and Last Name *
Nominee's Email
Nominee's Phone Number *
Nominee's Mailing Address 
Your Name *
Your Email *
Additional Comments
Do you wish to remain anonymous?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report