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2. Name*
4. Email Address
6. Phone Number
8. Item(s) you'd like to donate

   1. Video consoles and/or games
   2. Ping pong supplies
   3. Mahjongg supplies
   4. Art supplies
   5. Other
10. Other (please check our list of items we don't accept)
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12. 1. Receive an email copy of this form.
13. Email address

    This field is not part of the form submission.

14. Submit

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