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Hands to Hearts Ministry QUILT Request
Quilt Package Request Form
We would be honored to help you minister to someone in need.
Your Name:
Email Address:
Phone Number: (optional)
Name of the Person you're Requested a Quilt Package for:
Specific Type of Illness:
Gender
Male
Female
Approximate Age:
0-10 years old
11-20 years old
21-30 years old
31-50 years old
51-64 years old
65+ years old
Does the Recipient have a Favorite Color or Hobby?
Is the Recipient a Believer?
Yes
No
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