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HB form for Sponsors and Donors.
Please complete this form to sign up as a sponsor, or donor.
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The cost is approximately $100-125 per child or senior citizen. If you select more than 3 children, you may be matched with more than 1 family.
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Email
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Your email
Name
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Your answer
Business/Organization Name
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Your answer
Street Address
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Your answer
Phone Number
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Your answer
Preferred contact method?
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Postal
Phone
I would like to serve as a:
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Choose
Sponsor
Donor
How many children would you like to sponsor
Choose
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How many seniors would you like to sponsor
Choose
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As a donor, I will make a monetary contribution of $
Your answer
Please make checks payable to LISTEN Holiday Baskets
Checks should be mailed to 60 Hanover Street, Lebanon, NH 03766. Please write Holiday Baskets on the memo line. Thank you!
Do you have any additional comments?
Your answer
A copy of your responses will be emailed to the address you provided.
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