2024 "be homeful for the holidays" Request Form - The Coalition to End Homelessness

2024 “be homeful for the holidays” Request Form

be Homeful For the Holiday Request Form

Please use the form below to request bears, baby gifts, and backpacks for 2024. For contact information, provide the contact who will be directly responsible in coordinating delivery. If you have any questions, don’t hesitate to reach out to Ryan Beach at rbeach@cceh.org.

Requests are due by December 2.

Supplies are limited, but we will do our best to accommodate all requests.

be homeful 2024 Order Form

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Organization

Delivery Contact Name(Required)

First Last

Delivery Contact Email(Required)

Delivery Contact Phone(Required)

Delivery Address(Required)

Please list where gifts will be delivered, regardless of agency address.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Special Delivery Instructions

Number of Children (3+) Served Annually

For Paddington Plush Bears

Number of Children (Under 3) Served Annually

For Paddington Baby Gift

Number of School Aged Children Served Annually

For Backpacks