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Thank you for taking the time to complete this by Tuesday, November 18th 2025

What is the Recipient's First Name

Recipient's Last Name

What is One Gift they would like for Christmas

Is there a certain Accomplishment the Recipient is Proud of?

In What City do they Live?

Recipient's Mailing Address

Recipient's City and State

Recipient's Zip Code

My Name is

My Email Address is

My Phone Number is

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