WAVE OF LIGHT CANDLE AND PAIL AWARENESS BUNDLE

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NAME *

EMAIL ADDRESS *

How many bundles would you like? *

Will you be picking up the bundle or would you like it to be shipped for an extra $2? *

Pick up (Quasqueton, Independence or Manchester)

Please ship. I will include my shipping address below

This is a gift for someone else please ship to the name and address below

I don't want a bundle but I would like to sponsor one for someone else

Required

If you'd like to arrange pick up, which location would you like to pick up from?

Quasqueton

Independence

Manchester

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If you'd like the bundle shipped, please include shipping address including city, state and zip code

Please send donation via PayPal Giving Fund, Venmo @Danielle-Franck-2 (friends & family) or via check or cash at pick up.

Venmo

Cash or check

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Submit

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