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LIFE

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2008 Helping Hands List for Life submission form

Your information must be received by midnight, Sunday, Nov. 30th, 2008.

We may discard your submission if you use either all uppercase or all lowercase letters for any field value. Unless you are entering an abbreviation (e.g., YMCA), please make sure you use both upper- and lowercase letters as appropriate. Also, please double-check your spelling and all other information before clicking "submit."

All fields are required except for the second line of the mailing address and the organization's Web address.

Your Name
first	last

Your Phone Number
area code	7-digit	ext.
( )

Your Email Address

Name of the Organization

Mailing Address
line 1

line 2

city	state	zip	+4

Informational Phone Number
area code	7-digit	ext.
( )

Informational Email Address

Organization's Web Address

http://

What the organization needs:

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