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Diane's Helping Hands In-Kind Donation Form
Thank you for your generosity towards our Hope & Comfort kits for cancer patients.
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* Indicates required question
Email
*
Your email
Business Name
*
Your answer
Contact Information
*
Your answer
Donated Item(s)
*
Journals
Tea
Soup
Tote Bags
Blankets/Quilts
Toiletry Item
Puzzle Books
Socks
Pens
Other:
Required
Item(s) Value
*
Your answer
Item Delivery
*
Mailed
Picked Up
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