2. Donor name*
   Note: If sponsoring on behalf of an organization, enter that name in this field.
4. Contact name*
6. Contact email*
8. Address line 1*
10. Address line 2
12. City*
13. State*
14. Zip code*
16. Phone*
17. Ext
19. What type of donation would you like to make?*

    1. New and unwrapped gifts, drop off (gift cards included)
    2. Online monetary gift

    Please check one or both.

    To make a monetary donation go to https://mtyc.co/h210ff

    .

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21. 1. Receive an email copy of this form.
22. Email address

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