HELPIS 2024 Holiday Requests

Please fill in all the necessary information with as much detail as possible and we will try to accommodate your request as soon as we can.

Please submit separate form requests for multiple individual/family requests.
We will be in touch within a couple of days with any questions or to confirm that we are working on your request.
In most cases, we require requestors to pick up. Please let us know if you this is not possible.

Your first name

Your last name

Email

Phone

Are you working on behalf of an organization?

Yes

No

Short answer

How many people will this be helping?

Enter specific needs and requests. Please make as clear as possible, including ages, sizes, numbers of items needed, etc.

Please provide any other additional information that we should know.

How did you hear about us?