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Self Care Sponsorship
Please fill out the form with the information for the person you are nominating. If you are nominating yourself, please fill out the form with your info.
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Email
*
Your email
Today's Date
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What are the name and pronouns of the person you are nominating?
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Your answer
What is the email address that should get the shipping notification?
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Your answer
What is the shipping address of your recipient?
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Your answer
If you're comfortable doing so, please tell us about your recipient! Please note this is *NOT* necessary to receive a sponsorship.
Your answer
Would you like to include a custom note with your recipients self care box? If so, please leave the note here.
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