HOLIDAY DRIVE REGISTRATION

Name:
Address:
City: State: zip:
E-Mail:

Check all that apply:
Secret Santa Program:. Please forward Wish List(s)
Food Drive:  or will mailcertificates to 28303 Joy Rd. Westland, MI 48185
Santa's Workshop:  I would like to donate a Holiday Drive gift of: $500$200$100$50Other $

Method of payment:
Check or Money Order
If you would like to receive ( check all that apply ): a thank you letterplaced on our mailing list andname listed in out newsletters and annual report donor's section.