Christmas Wishlist Donation

    First Name

    Last Name



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

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

    Mary Anne L.


    Age 59

    Celine Dion CD
    V Tech Games
    Walmart Gift Card

    Dress Size Shoe Size Pant Size Shirt Size
    SM/ Petite 7 W 3/4 Junior SM/ Petite