Factor IX Holiday Wish List

submit your wish list items by November 19th

For families in our community in need of a little holiday cheer, let us help put something under the tree for your children! Complete this form and your gift request will be sent to Santa’s special elf, Kim, at the “East” Pole. Factor Nine Santa has a busy schedule, so please send this form no later than November 19, 2018. Your name and information be kept strictly confidential.

NOTE: Please give an exact description of your child’s wish item. Gifts will be purchased and delivered to your home mailing address.

Parent Name *
Parent Name
Mailing Address *
Mailing Address
Phone *
Phone
PLEASE GIVE AN EXACT DESCRIPTION OF YOUR CHILD'S WISH ITEM.
Child 1: Name *
Child 1: Name
Child 2: Name
Child 2: Name
Child 3: Name
Child 3: Name

If you would like …

You can help us by making a financial donation to the 2018 Factor Nine “Holiday Fund” to help buy gifts for children with hemophilia. Click here to DONATE.

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