NOMINATE A GRANDMA TODAY
For W.E.C.A.'s Granny Wish List
*Nominated Grandmas Must Be 65 years or older on a Fixed or Low income under $15,000 a year and not required to file income tax*
Name of Nominated Granny
First Name
Last Name
Phone Number of Nominated Granny
Format: (000) 000-0000.
Email of Nominated Granny
example@example.com
Address of Nominated Granny
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Full Name of Person Making Nomination
First Name
Last Name
Phone Number of Person Making Nomination
Format: (000) 000-0000.
Email of Person Making Nomination
example@example.com
Address of Person Making Nomination
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
250 Words or Less on Why You are Nominating This Granny?
Granny Wish List ($150 Shopping Budget)
Submit
Should be Empty: