REQUEST FOR ADOPTION MATCH UP
Please return this form by November 30th to:
Project Merry Christmas
PO Box 422
Durango, CO 81302
EMAIL: lpc.projectmerrychristmas@gmail.com
Contact Person: Dianne Andrews @ 970-903-4679
Name of Donor ________________________________
Contact Person ________________________________
Donor Phone Numbers: 1)._______________ 2).________________
Address of Donor_______________________________
If you would like to receive the family information by fax or email, provide your information below:
____________________________________________________________________________
TYPE OF FAMILY(lies):
Please give us some idea of what size of family you would like to adopt. Keep in mind, that some families have several adults and teenagers. Shopping for them is optional. Your adoption should include food, new clothing and new toys. Refer to our shopping guidelines to determine what your budget will allow.
Do you have a preference for where your family lives?
Durango Bayfield Ignacio No preference
Do you speak Spanish? ☐Yes ☐No
As we continue to grow each year, we are asking that you please help our staff by personally delivering your packages to your family on or before December 21nd. If this is not possible, please schedule an appointment so that one of us may meet you at our PMC location on or before December 16th. Remember, you may remain anonymous yet still deliver by simply stating that you are delivering for Project Merry Christmas.
Yes, I will be delivering to my family(ies) on or before December 21st
No, I will not be able to personally deliver to my family. I will deliver to Dianne Andrews on or before December 16th
Please return this form by November 30th to:
Project Merry Christmas
PO Box 422
Durango, CO 81302
EMAIL: lpc.projectmerrychristmas@gmail.com
Contact Person: Dianne Andrews @ 970-903-4679
Name of Donor ________________________________
Contact Person ________________________________
Donor Phone Numbers: 1)._______________ 2).________________
Address of Donor_______________________________
If you would like to receive the family information by fax or email, provide your information below:
____________________________________________________________________________
TYPE OF FAMILY(lies):
Please give us some idea of what size of family you would like to adopt. Keep in mind, that some families have several adults and teenagers. Shopping for them is optional. Your adoption should include food, new clothing and new toys. Refer to our shopping guidelines to determine what your budget will allow.
- number of children (14 years and younger) ________? or,
- number of families __________?
- number of senior and/or disabled individuals ____________?
- special request________________________________________________________
Do you have a preference for where your family lives?
Durango Bayfield Ignacio No preference
Do you speak Spanish? ☐Yes ☐No
As we continue to grow each year, we are asking that you please help our staff by personally delivering your packages to your family on or before December 21nd. If this is not possible, please schedule an appointment so that one of us may meet you at our PMC location on or before December 16th. Remember, you may remain anonymous yet still deliver by simply stating that you are delivering for Project Merry Christmas.
Yes, I will be delivering to my family(ies) on or before December 21st
No, I will not be able to personally deliver to my family. I will deliver to Dianne Andrews on or before December 16th
