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Donating Items

Some examples of items you might want to donate:

Laptops, tablets and other electronics that can help patients be mentally and socially active despite being bed ridden.

Printing supplies and services.

Donation Form

If you would like to donate items for patients or for our
organization's operations or for raffles or auctions, please fill
out this form. You can remain anonymous, but we require
your contact information for processing the donation.

First Name: *
Last Name: *
Address Street 1:
Address Street 2:
Zip Code: (5 digits)
Phone: *
Email: *
Would you like to remain anonymous? *
Items being donated: *
Estimated value of donated items:
Additional instructions or comments:

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