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Nomination Form - Christmas Cookie Box
Do you know a family or individual who would benefit from a Mars Hill Christmas Cookie Box? Nominate them here.
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* Indicates required question
Your Name:
*
Your answer
Name of the individual or family you are nominating:
*
Your answer
Number of people in the family?
*
1
2
3
4
5
6
Other:
Phone number of nominated family [if you have it]:
Your answer
Email of the nominated family [if you have it]:
Your answer
Delivery address of nominated family [if you have it]:
Your answer
Are you aware of any dietary restrictions that should be considered for this family? [Check all that apply.]
Gluten Free
Dairy Free
Vegan
Other:
Is there anything we should know about why you're nominating them?
Your answer
Would you be interested in helping deliver cookies to this family or other nominated families?
*
Sure!
No thanks.
Maybe... I'll think about it
What is your email?
*
Your answer
If you'd like to help with deliveries, what is your mailing address? [So we can coordinate deliveries in your neck of the woods.]
Your answer
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