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Welcome to the Town of North Kingstown, RI, Action Line
Today is Saturday, February 24, 2018.
Holiday Giving Donor Form

Department of Social Services, Town of North Kingstown Telephone: 268-1579
Please select one or all options below.

* Information is required.

Contact Information

* First Name:
* Last Name:
Email:
* Daytime Phone: (
* Address:
* City:
* State:
* ZIP:

OPTION 1

2
 
I would be willing to provide for as many families as
 
with up to a total of as many children as:
 
OPTION 2

2
 
I would like to contribute cash, check or money order in the amount of:
 
I would like to contribute retail gift certificates to the Holiday Giving program in the amount of:
 
OPTION 3

2
 
Check here to have email confirmation of this submission.

* Information is required.

Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.

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