"Nominate A Family" Care Package Form
Philadelphia Families: Do you know a family experiencing financial difficulties who could greatly benefit from a care package? Are you and your family experiencing financial difficulties as result of this pandemic? The Illumin8d City Ltd. will be gifting select families with care packages including but not limited to health & beauty and household essentials. You can nominate a family (or yourself!) below.

PLEASE NOTE: ALL RESPONSES ARE KEPT STRICTLY CONFIDENTIAL. DUE TO THE LIMITED NATURE OF THIS GIVEAWAY WE MAY NOT BE ABLE TO ACCOMMODATE EVERY NOMINATION. SUCCESSFUL NOMINATIONS WILL BE CHOSEN AT RANDOM AND WILL BE WITHIN THE PHILADELPHIA AREA REGION ONLY.
Email address *
Is this care package for you or someone else? *
Please enter the contact information of the family who would greatly benefit from a care package.
Name *
Telephone Number *
Address *
If you are nominating another family please enter your information here. If this nomination is for your family simply enter "SELF" here. *
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