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Self-Care Items Submission Form


Pending Roaster
Ticket # Neighborhood City State Request Request Date Give Hands

Track Your Request Status

NOTTICE :
I am verifying to fulfill as much as I can.
I agree not to pack or exchange locally & federally prohibited items.
I agree not to pack food items, whereby gift pre-paid cards are allowed.
I agree to be considerate of the drop-off protocol, be mindful of the safety for pick-up & item is not blocking entry to fire or handicap.