Toys for Christmas

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Toys for Christmas
Toys for Christmas
E. E. Foundation, Inc.
C/O Lenton Brown, Jr.
Phone (912) 237-7765 Fax (912) 235-2966
www.eefoundationinc.com
[email protected]
Parent’s Name________________________________________________________________________
Address______________________________________________________________________________
Phone Number ____________________________ Email Address_______________________________
Name of Referring Organization __________________________________________________________
Contact Name _______________________________ Phone ___________________________________
Name of Child
Age
Sex
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Please Note: Referrals need to be submitted by December 1,
2014. Ages: infant – 11 years old. Be advised that
parents/guardian s will asked for identification and verification
of guardianship.

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