Holiday Give Away Request For Families in need is 'CLOSED! Serving Los Angeles County, Gardena, Ca. area!(Availability is on a first come registration basis, while supplies last)

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

I woul like request for a: (Select One)

How Many Girls Do You Have? (Ages 11 - 21) for Wise Girlz Feminine Hygiene Relief Backpack

List Name & Age of Your Children: (Minors Only

Briefly explain your circumstance:

The parent or person completing this application must be present at time of pick-up. Please provide your name and California ID at pickup, thank you!

*WE RESPECT YOUR PRIVACY AND ARE COMMITTTED TO PROTECTING PERSONALLY INDENTIFIABLE INFORMATION YOU PROVIDE US THROUGH OUR WEBSITE.

*Please keep in mind that we are giving Store GIFT CARDS & Wise Girlz Inc. Feminine Hygiene Bags based on the contributions we receive from donors and sponsors who help make this possible.

Application Deadline:

December 15th by 5:00 PM

Ways to DONATE

CASH APP: $PSMINC
Call: 310.272.9290
Zelle to: info@powersourcemin.org

Holiday Give Away Request For Families in need is 'CLOSED! *Serving Los Angeles County, Gardena, Ca. area!(*Availability is on a first come registration basis, while supplies last)

The parent or person completing this application must be present at time of pick-up. Please provide your name and California ID at pickup, thank you!

Ways to DONATE

CASH APP: $PSMINC

Call: 310.272.9290

Zelle to: info@powersourcemin.org

Holiday Give Away Request For Families in need is 'CLOSED! Serving Los Angeles County, Gardena, Ca. area!(Availability is on a first come registration basis, while supplies last)