A Program of The Adoption Exchange

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* 1. Please enter your contact information:

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* 2. How did you hear about the Birthday Wishes Program?

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* 3. How many children would you like to buy birthday gifts for?
(Presents must be new and should equal $100 per child)

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* 4. Do you have any preferences you would like us to consider when matching you with a child?

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* 5. Do you agree to comply with the following program guidelines:
- Presents must be new and should equal $100 per child
- No Cash Gifts
- Please limit gift cards to large chains only
- Please include an additional $20 contribution for gift wrap and shipping & handling fees
- All birthday presents must be delivered to The Adoption Exchange unwrapped. Date TBD.

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