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Victoria Women's Transition House
Making Spirits Bright - 2013 Christmas Hamper Program
Name of Company or Group
(Optional)
Main Contact
or Donor's First Name
Solicitation
Ms.
Mrs.
Mr.
Dr.
Address
City
Province
Postal Code
Phone Number
Email
I would Prefer to be contacted by email only
Hamper Options
Single Woman
Mom and child
Mom and two children
Mom and three or more children
Expectant "Unknown" families who arrive over the holidays
General Items from the Shelter Wish List
Additional info or questions
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