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Request for Assistance

YOUR OWN DETAILS

Full First Name

Full Last Name

Facebook Name

Email

Phone

How many kids under 18 in the home?

How do we get items to you?

Shiawasee or Livingston County?

Street Address

City

Region/State/Province

Postal / Zip code

What do you need?

Are you an active member of the military? (We ask this for grant purposes an donot share any indivdul information.

By checking this box, you understand that this IS NOT an assistance form for Christmas help.

Thanks for submitting!
We will be in touch as soon as possible.

ABOUT US >

The Giving Barn bridges a critical gap in services to families in need by connecting them to resources that empower them to live a life of dignity. A unique element of our outreach includes delivery to the homes of the people we serve.

CONTACT >

T: 810.300.5123

E: infothegivingbarn@gmail.com

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