STANRO GIVES
"HOPE FOR THE HOLIDAYS"
Nominee Name
First Name
Last Name
Email Address
example@example.com
Mobile Phone Number
Please enter a valid phone number.
What is your relationship to the family that you are nominating?
What family are you nominating and why?
Family Contact Person Name and Telephone Number
Family Members Information: Name(s), Boy/Girl and Ages
Is this family receiving any other assistance this Christmas?
Additional information that you feel we should know about the family.
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Month
-
Day
Year
Date
Submit
Should be Empty: