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Christmas Book Order Form
No payment is necessary at the time of submitting this order. Instructions to make payment to finalize the order will be sent to you via email.
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Indicates required field
Name
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First
Last
Your Address (we will mail the card(s) here)
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City
State
Zip Code
Country
Email
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Payment instructions will be sent to this email, so be sure to use an email you check regularly.
Bed-$60
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Mattress-$30
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Clothing Drawer-$25
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Dining Table-$100
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Stuffed Animal-$5
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Curtains-$10
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Shirt & Pants-$20
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Month of Food-$50
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Plate/Cup/Bowl-$8
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Backpack-$15
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Weekly Therapy for a Term-$133
Weekly Therapy for a Year-$400
Bed Sheets-$10
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Mosquito Net-$10
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Toiletry Caddy-$5
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Sofa-$80
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Toy/Ball-$10
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Toiletries for a year-$50
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Recreation Shoes-$10
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Month of safe water-$30
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Towel/Bath Sponge-$10
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Comment
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After submitting this form, you will be emailed with instructions for payment. As soon as payment is received we will send you the card(s). You'll get one card for each item you purchase unless you specify otherwise in the comments box. THANK YOU!
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