Say Word IS GIVING BACK
Thanksgiving Basket Nomination Form
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
example@example.com
Name of the Family You’re Nominating (or your name if nominating yourself)
*
How many people are in their household?
*
1
3
4
more than 4
City/Zip code
*
Must live in Columbus, Ohio
Address or General Location for Delivery
*
Street name, cross street, or nearby landmark (for delivery or pickup coordination only)All information remains confidential and will only be used to arrange delivery.
Briefly share why you’re nominating this family.
*
No personal details needed, just a few words about why they could use the help.
Would you be willing to help deliver or connect us to this family if chosen?
*
Yes
No
Anything else you’d like us to know?
optional
Submit
Should be Empty: