Legacy 24 Foundation REQUEST HELP
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Your Name (First and Last) *
Your email *
Your phone number *
Is this request for assistance for you? *
If you are requesting assistance for someone else, please include their name and contact info below.
Indicate the type of assistance you are requesting (help with medical bills, household bills, mortgage payments, etc). *
If you have started at Go Fund Me page, add link here
Please share the reason for your assistance request *
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