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Please complete this form to sign up to participate in CRC's Shalach Manot exchange!

* 1. Your name and contact information:

* 2. Best way to contact you:

* 3. Children's names and ages (if applicable):

* 4. Dietary Restrictions:

Please click "Submit" to submit this form. You will be contacted by Friday, February 16 with the name and contact information of the household where you will be delivering your gift basket/bag. You will find out who is bringing you a gift when they contact you!