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    How can you help?
    1. Decide what family in need could use $50 right now...it could be yours!
    2. Complete the information below and submit.
    3. If your name is selected on December 13, we will mail a check to you on December 16 to arrive before Christmas. We ask you to cash the check and give the the cash to the familiy you know who needs it the most.
    And that's how you pay it forward!

    Please complete the following information to enter:
    First Name*:
    Last Name*:
    Email*:
    Phone*:
      (We respect your privacy. We will never, ever compromise your information.)
    Mailing address*:
    City*:
    State*:
    Zip*:

    Offer ends 12.13.13. at 2pm AZ time.

    Don’t worry. We need this information to prepare a check and mail it to the correct address. If we need to contact you, we will do so by email or phone. We will destroy your personal information. We will NEVER spam you or sell your information to a third party.

    Thank you for helping pay it forward to 50 families who could really use it. Fifty dollars may not seem like a lot of money to some, but to a struggling family, it can be the difference between having a Christmas dinner or heat in the house or a much needed prescription.

    YOU have made a difference by PAYING IT FORWARD!

    Happy Holidays from DollarDays!