CARE for SANDY
Are you ready to "Adopt a Family"? Can you commit to purchasing at least one framed, restored print for a registered CARE for Sandy family? Yay, you! Please complete this registration form to get started.
TITLE *
LAST NAME *
FIRST NAME *
EMAIL ADDRESS *
CONFIRM EMAIL ADDRESS *
please repeat email
MOBILE PHONE *
HOME PHONE
BEST MODE OF CONTACT *
Mobile phone, home phone or e-mail?
COUNTRY *
STATE OR PROVINCE *
CITY *
ZIP OR COUNTRY CODE *
I PROMISE TO RESPECT MY ADOPTED FAMILY'S PRIVACY *
By checking the "YES" box, I give my word that I will not publicize or distribute my family's name, mailing address, e-mail address, phone number(s) or photo(s) in any public form, electronic or printed. I promise to respect my family's privacy.
I ACKNOWLEDGE THAT MY GIFT IS —NOT— TAX DEDUCTABLE *
CARE for Sandy is not a formal not-for-profit, therefore any gifts must be given in-kind, and cannot be submitted to Uncle Sam come tax day.
MY "ADOPTION" BUDGET *
BEYOND AT LEAST ONE FRAMED PRINT, I MAY BE INTERESTED IN GIFTING THE FOLLOWING. *
Check all (if any) that apply.
Required
I UNDERSTAND THAT I WILL BE RESPONSIBLE FOR ALL SHIPPING ARRANGEMENTS/COSTS ASSOCIATED WITH MY GIFT. *
Required
I AM INTERESTED IN ADOPTING THIS NUMBER OF FAMILIES *
I AM INTERESTED IN ADOPTING A FAMILY/FAMILIES FROM *
Check all that apply.
Required
I REPRESENT A BUSINESS AND CAN OFFER DISCOUNTS OF THIS VARIETY TO REGISTERED CARE FOR SANDY FAMILIES, RESTORATION VOLUNTEERS &/or YOUR ORGANIZATION IN GENERAL.
e.g. Discounted printing services, discounted frames/albums/scrapbooks. Please describe. Leave blank if not a business representative.
I'M A RESTORATION VOLUNTEER. I'D LIKE TO HELP A FAMILY/FAMILIES THAT I'VE RESTORED IMAGES FOR.
Insert the file name of the image(s) you'd like to print and frame or buy an album for. Plus any other details we oughta know. (Leave blank if not a restoration volunteer.)
YES, I WOULD LIKE TO BE THANKED BY NAME ON careforsandy.org's THANK YOU PAGE
Enter the name you wish to be credited with. Leave this question blank if no credit is desired.
WHERE DID YOU HEAR ABOUT CARE for SANDY? *
ADDITIONAL COMMENTS?
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