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:

    Joel B.

    Male

    Age 60

    Puzzles
    Work books
    DVDs- Western, Bionic Man,
    Andy Griffen, and Chips
    Three Musketeer candy bars
    Diabetic socks
    Boom Box with CD Player
    CDs- Jackson Brown
    Papa Johns Gift Card
    McDonald’s Gift Card
    Wendy’s Gift Card

    Dress Size Shirt Size
    XXL XXL