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CrossWalk Community Outreach

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Veterans, join us on December 12th!
10am - 2pm
11 October Road
Naples, ME

First name*

Last name*

Email*

Phone

Town you are traveling from*

How many children are you shopping for*

1

2

3

4

5

6

Other

What are the children's age ranges?*

0 - 2 years

2 - 4 years

5 - 7 years

8 -10 years

11 - 13 years

14 - 17 years

How many people will you be feeding?*

1

2

3

4

5

6

Other

Which dinner basket protein do you prefer?*

Ham

Turkey

No Preference

What is your preference for a grocery gift card?*

Hannafords

Walmart

No Preference

Do you have any accessibility needs, dietary restrictions, or other information we should know?

11 October Road Mailing Address: PO Box 64, Naples, Maine 04055

Naples, Maine 04055

United States

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