Holiday Program Donor Registration

Print
Press Enter to show all options, press Tab go to next option
Please correct the field(s) marked in red below:

Farmington Community Services

 DONOR REGISTRATION FORM

2017 HOLIDAY PROGRAMS

 

The Department of Community Services offers seasonal assistance programs for low-income residents and families in Farmington and Unionville.  These programs rely solely on the generosity of our community partners.  If you would like to participate in this year’s Thanksgiving and holiday programs, please complete the form below.

 Thank you for your compassion and willingness to help our neighbors in need!


1
Individual / Business / Organization Name
2
Street Address, City, State
3
Phone Number
4
Email
5
Contact Person and Phone Number (if different from above)

Meal Baskets & Holiday Gifts 

Meal baskets can do so much to brighten the holidays for families and individuals with limited means.  Baskets are collected for both Thanksgiving as well as the winter holiday season.  If you would like to provide a meal basket for a local family in need, please indicate one or both occasions below.

Low-income families with children under 18 are also eligible for our Adopt-a-Family Holiday Gift Program. If you choose to sponsor a family, you will be provided with a Holiday Gift Wish List for each child. Approximately 3 gifts per child is the recommended donation.

6
Select the programs you'd like to sponsor:
Select the programs you'd like to sponsor:
7
Please indicate the quantity of each item you'd like to contribute.
 *
8
Additional Comments
  1. To receive a copy of your submission, please fill out your email address below and submit.