GIFT CARD CHALLENGE
{REQUEST FORM}
Email address *
WE UNDERSTAND IT'S NOT ALWAYS EASY TO ASK FOR HELP, WE ARE GLAD YOU ARE HERE. PLEASE TAKE A MOMENT TO ANSWER A FEW SHORT QUESTIONS TO ENSURE WE GET YOU THE BEST MATCH WITH A GIFT CARD! **IF YOU ARE FILLING OUT THE FORM TO NOMINATE SOMEONE, PLEASE FILL IN THEIR INFORMATION, NOT YOURS, THANK YOU!
**IF YOU ARE NOMINATING SOMEONE, PLEASE WRITE IN YOUR NAME & EMAIL/PHONE HERE:
Your answer
PLEASE GIVE US YOUR NAME (THIS WILL BE THE NAME WE GIVE THE BUSINESS FOR USE OF THE GRANTED GIFT CARD) *
Your answer
WHAT IS THE BEST WAY TO CONTACT YOU? (PLEASE LEAVE A PHONE NUMBER OR EMAIL ADDRESS THAT YOU WOULD LIKE TO BE REACHED AT WITH GIFT CARD INFO) *
Your answer
WHAT ARE YOU IN IMMEDIATE NEED OF? *
ARE YOU AWARE OF THE PLACES TO FIND RESOURCES & HELP IN OUR COMMUNITY DURING THIS TOUGH TIME?
WWW.EXPLOREALBERTLEA.COM/covid-community-quick-hits
FOLLOW THE LINK ABOVE TO FIND LINKS FOR BUSINESS & INDIVIDUAL RESOURCES & INFORMATION SPECIFIC TO OUR COMMUNITY. WE KNOW THERE'S A LOT OF INFORMATION OUT THERE, AND IT'S EVER CHANGING. WE ARE HERE FOR YOU.
THANK YOU FOR TAKING THE TIME TO ALLOW YOUR COMMUNITY TO HELP YOU IN A SMALL WAY!
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