For best results, please make sure all information you provide is accurate.
By submitting your information you agree that it is factual, relevant, and accurate to the best of your abilities. You
also agree that if you receive assistance of any kind it will be used only for the situation you describe.
The information you provide will not be made public. The information
you provide is sent to multiple charitable organizations throughout the United States, and it is sent in a manner that protects
your privacy. However, the charitable organizations on our distribution list will have full access to the information
False or misleading information may be punishable by law.