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The Giving Tree
You can nominate your family, or a different family in need by filling out the form.
All nominees will be kept for private use.
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* Indicates required question
Your First Name
*
Your answer
Your Last Name
*
Your answer
Your Phone Number
*
Your answer
Nominee First Name
*
Your answer
Nominee Last Name
*
Your answer
Nominee Phone Number
Your answer
Is this family affiliated with Impact Life Church?
*
Yes
No
Please give a description of why you feel this family needs a Christmas Hamper this year.
*
Your answer
If the family has children, please list how many and their approximate ages/
Your answer
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