______________________________________

Zip Code(s) where you wish to deliver (or Any)

 

______ Number of Thanksgiving Baskets

 

______ Number of Christmas Baskets for the                  same families only.

                 Are you also giving toys?   YES    NO

 

______ We would like to collect new toys for                  the Christmas Store (needed by 12-9).

 

Detach and return to:

        Christian Services,

        P.O. Box 22112, Lansing, MI  48909-2112

 

Or fax to:  394-5414

 

________________________________________________________________________

Name of Church, Business or Individual Donating Baskets

                

_______________________________________________________________________  

Name of Contact Person/Basket Coordinator                                                                                      

 

________________________________________________________________________

Contact Person Phone-WK                               Phone-HM                            Fax#   

 

________________________________________________________________________

E-mail Address (where you would want list sent)

 

________________________________________________________________________

Donor Address

 

How would you like to receive your list?   Fax         Donor Address        Email (in Excel)

Sign Up Form for Thanksgiving & Christmas

Print, fill out and mail or fax to our office.

This form cannot be emailed.  However, you may include the required information in an email and send to:

ChristianServices@acd.net