Love Notes for the Resistance
Nominate as many recipients (including yourself!) as you wish. We will send out notes on a monthly basis. Mailing addresses will NOT be sold or used for any other purpose.

***PLEASE NOTE - We send notes by MAIL ONLY - please do not submit email addresses.***

Recipient's First & Last Name
Your answer
Recipient's Street Address
Your answer
Recipient's City, State, & Zip Code
Your answer
What kind of work does the recipient do?
Is there anything else you'd like to share about this recipient?
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms