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Adopt a Family Holiday Shopper Form 2024
Thank you so much for generously giving your time and resources to our Adopt a Family Program.
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Email
*
Your email
Your Name(s) - First, Last
*
Your answer
Business Name (if applicable)
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone Number
*
Your answer
I prefer to shop for
*
Child(ren) Only
Adult(s) Only
No preference
Number of individuals I/we would like to shop for. Please place number below. (We will collect 4 gifts per recipient, easily budgeted between $75 to $100 for each individual you adopt.)
*
Your answer
I would also like to donate wrapping items to accompany my unwrapped gifts. ICAN volunteers will use these items to wrap/prepare gifts for delivery to families. Items include: wrapping paper and/or gift bags, tape and gift tags.
*
Yes
No
Special Notes /Requests
Your answer
A copy of your responses will be emailed to the address you provided.
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