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Comfort Shawls
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Messenger Interfaith Prayer Center

Comfort Shawl Program Request Form
After your mantle has been given to someone, you will receive information about the recipient.

Contact Information of Person Requesting
Name:
Address:
City:
State:
Zip:
Phone: (ex: 203-576-6000)
Email:
 
Requesting: Comfort Shawl Comfort Lap Blanket
For The Following Person:
Located:
Age:
Gender: Female Male
 
Why This Person Would Benefit From A Comfort Shawl/Blanket
 
Would you like the shawl/blanket
to be given by:
   Yourself    The Program
 

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