Christmas Wishlist Donation

    First Name

    Last Name

    Email

    Phone

    Select Drop of Date and Time:
    8am - 10am1pm-3pm4pm-6pm

    Would you like to send a note of encouragement or Christmas Cheer:

    Dean L.

    Male

    Age 75

    Black and brown sweat suits
    (size: Medium)
    Queen sized flannel bedsheets
    “Brut (aftershave, cologne, and
    shaving cream”