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G5 Holiday Give Back

I've READ and understand this program's requirements.View program requirements

First name

Last name

Email

Phone

What county are you a resident of?

Have you recieved assistance from us before?

Type of assistance requested

Are you currently employed?

Number of family members in household

Street Address

City

Region/State/Province

Postal / Zip code

How did you hear about us?

In detail, please explain your current situation. Please include household members names, ages, sizes, items needed, reason(s) and length of unemployement (if applicable)

Thank you for your submission!

G5 Gives Back

G5 Gives Back is always looking for new and fun ideas to empower the community and we would love to connect with you!

"Helping to better the lives of others is the greatest of all achievements."

-Alan Shawn Feinstein

Email: info@g5givesback.org

Ground 5 Gives Back is a 501(c)(3) Non-Profit Organization.

TAX ID 88-3741557

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