Alternative Christmas Gift Giving

Please fill out this form, along with payment and then hit submit. Thank you! Merry Christmas!

Name

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Email

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This address will receive a confirmation email

Phone

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Address

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I would like to give the following gift(s) for the suggested donation amount...check the appropriate box

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Please select all that apply.

Hygiene Kit - $65 Cleaning Kit - $90 Bathroom Kit $100 Comforter - $35 Pillows for 4 - $28 Sheet Set - $35 Dish Set - $40 Flatware - $15 Glasses - $10 Pressure Cooker - $35 Set of Pans - $70 Baking Pans - $20 Water for a Garden Plot - $50 Garden Hose -$25 Stroller - $65 Pack-n-Play - $80 Diapers - $20 Bath Set - $10 Baby Towel - $15 English Book - $15 Beginner Book - $10

This gift is given in honor of....(please add the name(s) of each person, their address and which gift is given in their name.

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Do you want Glocal to send a card to the person you are giving to or send it to you?

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Please select one option.

Please send card to me Please send card directly to the person receiving the gift in their name.

Please put total amount here:

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Please fill out this form, along with payment and then hit submit. Thank you! Merry Christmas!

Please Fix the Following

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