IMHNE Candy Gram
Thank you for purchasing a candy gram to support the efforts of It's My Heart New England.
Each sign is a recommended donation of $20, which can be paid on our website at www.itsmyheartnewengland.org.
Once we receive this form and your donation, we will reach out to you for pick-up or delivery of your sign.
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Email *
Full name and Address *
Phone Number (so we can contact you about your sign) *
Is your Candy Gram in honor or in memory of anyone we can acknowledge in our monthly newsletter? If yes, please let us know who. *
How far are you willing to travel to pick up your sign (covid-friendly, non-contact pick-up) *
Have you visited www.ItsMyHeartNewEngland.org to make your candy gram donation? *
How did you hear about IMHNE's Candy Gram program?
Would you like us to add your e-mail to our monthly newsletter? *
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