Holiday Shopper Form

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Thank you for your interest in becoming a Holiday Shopper!

As a Holiday Shopper, you agree to receive a Wish List from a family (or families) of your choice size, to purchase the 4 items per gift recipient and deliver the unwrapped gifts to ICAN. You will receive all the information necessary when you receive your list!

Please retain your receipts, as purchases for this program are tax deductible. Please respond by November 23, 2021 if you choose this option and you will receive your wish list before Thanksgiving.

Your name(s) *

Business Name (if applicable)

Street Address *

City *

State *

Zip Code *

Phone Number *

Email *

I prefer to shop for *

Child(ren) only

Adult(s) Only

No Preference

Number of individuals I/we would like to shop for - please place number below. (We will collect 4 gifts per recipient, easily budgeted at $75 for each individual you adopt.) *

I would also like to donate wrapping items to accompany my unwrapped gifts. ICAN volunteers will use these items to wrap/prepare gifts for delivery to families. Items include: wrapping paper and/or gift bags, tape and gift tags. *

Yes

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